Hally, Robert J

Hally, Robert J is an individual health care provider with primary practice located at 4660 Kenmore Avenue, Suite 305 , Alexandria VA 22304-1306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hally, Robert J can be contacted via phone (703) 751-5763.

Contact Information

Primary practice address
4660 Kenmore Avenue, Suite 305 Alexandria VA 22304-1306
Phone: (703) 751-5763
Fax: (703) 370-8704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101230442 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101230442 Virginia

Profile Details

NPI number 1629123096
LBN Legal business name Hally, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629123096 NPPES
District of Columbia Other P00759582 RR MEDICARE
District of Columbia MEDICAID 1629123096 RR MEDICARE
District of Columbia MEDICAID 30015891610001 RR MEDICARE

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