Individual
DR. MATTHEW LAYTON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
263 FARMINGTON AVE, ORTHOPAEDIC SURGERY, FARMINGTON, CT 06030-4038
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
050661
CT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
050661
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922236108
—
CT
Enumeration date
06/26/2009
Last updated
07/08/2022
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