Individual provider · Type 1 NPI
Haley Grace Hall, PA-C
Surgical Physician Assistant · Boston, MA
NPI number
1689300253
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
36 Churchill St
Fairfield, CT 06824-6107
Other practice locations
- 1450 Chapel St, New Haven, CT 06511-4405 · (203) 789-3997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA102649 (MA) |
| Physician Assistant | 363A00000X | PA102649 (MA) |
| Surgical Physician Assistant | 363AS0400X | 23.005840 (CT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1689300253
Haley Grace Hall, PA-C's National Provider Identifier is 1689300253, issued on Jul 26, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2026.