Provider Demographics
NPI:1902860349
Name:HALPERN, ROBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:HALPERN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3225 CUMBERLAND BLVD SE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6407
Mailing Address - Country:US
Mailing Address - Phone:404-351-2220
Mailing Address - Fax:404-355-5624
Practice Address - Street 1:3225 CUMBERLAND BLVD SE
Practice Address - Street 2:SUITE 900
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6407
Practice Address - Country:US
Practice Address - Phone:404-351-2220
Practice Address - Fax:404-355-5624
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2019-06-11
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Provider Licenses
StateLicense IDTaxonomies
GA035260207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000494689AMedicaid
GAF24432Medicare UPIN
GA00965Medicare PIN
GA000494689AMedicaid
GA18BDCHNMedicare ID - Type Unspecified