Healthcare Provider Details

I. General information

NPI: 1427982511
Provider Name (Legal Business Name): QUINTON HALL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 COOLIDGE ST
HARTFORD CT
06106-3721
US

IV. Provider business mailing address

87 COOLIDGE ST
HARTFORD CT
06106-3721
US

V. Phone/Fax

Practice location:
  • Phone: 860-888-9226
  • Fax:
Mailing address:
  • Phone: 860-888-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number0002922
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: