Provider Demographics
NPI:1912195678
Name:HALSEY, PAULINE CHEN (MD)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:CHEN
Last Name:HALSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:W
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:91 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2201
Mailing Address - Country:US
Mailing Address - Phone:978-943-9516
Mailing Address - Fax:
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132
Practice Address - Country:US
Practice Address - Phone:978-373-6419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE84623208600000X, 2086X0206X, 207P00000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery