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Individual

DR. COLLEEN PATRICIA HALFPENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2755 PHILMONT AVE STE 140, HUNTINGDON VALLEY, PA 19006-5321
(215) 938-7878
(215) 938-7985
Mailing address
2755 PHILMONT AVE STE 140, HUNTINGDON VALLEY, PA 19006-5321
(215) 938-7878
(215) 938-7985

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A90678
CA
207W00000X
Ophthalmology Physician
D0064753
MD
207W00000X
Ophthalmology Physician
Primary
MD423462
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A906780
CA
05
1023793680001
PA
05
411381100
MD
01
CC3779
R/R/ MEDICARE GROUP #
MD
01
P00469002
R/R MEDICARE PROVIDER #
MD
Enumeration date
06/18/2006
Last updated
03/18/2019
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