Individual
HALEY GRACE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3997
(203) 867-5216
Mailing address
36 CHURCHILL ST, FAIRFIELD, CT 06824-6107
(803) 220-8870
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.005840
CT
Other
Enumeration date
07/26/2022
Last updated
03/11/2025
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