Provider Demographics
NPI:1467488494
Name:HALPERN, D. LYNN (PHD, MD)
Entity Type:Individual
Prefix:
First Name:D.
Middle Name:LYNN
Last Name:HALPERN
Suffix:
Gender:F
Credentials:PHD, MD
Other - Prefix:
Other - First Name:D.
Other - Middle Name:LYNN
Other - Last Name:HALPERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MD
Mailing Address - Street 1:291 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-541-6375
Mailing Address - Fax:617-541-6642
Practice Address - Street 1:291 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-541-6375
Practice Address - Fax:617-541-6642
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210444207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA210444OtherTUFTS HEALTH PLAN
MAP00041219OtherMEDICARE RAILROAD
MA0026866OtherNEIGHBORHOOD HEALTH PLAN
MA7271608-002OtherCIGNA
MA0138436Medicaid
MA152888OtherHARVARD PILGRIM
MAJ23780OtherBLUE CROSS
MA210444OtherTUFTS HEALTH PLAN
MA7271608-002OtherCIGNA