Individual
DR. MAHLON HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 KANE ST, PROVIDER ENROLLMENT, 2ND FLOOR, WEST HARTFORD, CT 06119-2110
(860) 523-6421
Mailing address
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-7199
(860) 679-1246
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170349
—
CT
Enumeration date
12/30/2005
Last updated
06/03/2008
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