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1104150804
JONATHAN L HALBACH
PORTSMOUTH, VA
NPI
1104150804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0120X Surgery Pediatric Surgery
(Licence: VA 0102207283)
Enumeration Date
2009-09-28
Last Update Date
2022-08-19
Business Address
JONATHAN L HALBACH D.O.
NMRTC PORTSMOUTH 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Phone number: 757-953-2446
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Mailing Address
JONATHAN L HALBACH D.O.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-2433
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