Provider Demographics
NPI:1194366849
Name:HALPERT MEDICAL LLC
Entity Type:Organization
Organization Name:HALPERT MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-272-0004
Mailing Address - Street 1:27 PIER 7
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02129-4226
Mailing Address - Country:US
Mailing Address - Phone:617-272-0004
Mailing Address - Fax:978-557-8798
Practice Address - Street 1:27 PIER 7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02129-4226
Practice Address - Country:US
Practice Address - Phone:617-272-0004
Practice Address - Fax:978-557-8798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HALPERT MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty