Provider Demographics
NPI:1629050661
Name:HALPERN, BARTON L (MD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:L
Last Name:HALPERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BARTON
Other - Middle Name:L
Other - Last Name:HALPERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:485 ROYER DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5102
Mailing Address - Country:US
Mailing Address - Phone:717-560-4020
Mailing Address - Fax:717-560-2919
Practice Address - Street 1:485 ROYER DR
Practice Address - Street 2:STE 103
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5102
Practice Address - Country:US
Practice Address - Phone:717-560-4020
Practice Address - Fax:717-560-2919
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022685E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000600228005Medicaid
PA106313JEPMedicare ID - Type Unspecified
PA000600228005Medicaid