Individual
JOHN D HALPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, DANA - 2, POPC, BOSTON, MA 02215-5418
(617) 632-6464
(617) 632-6180
Mailing address
450 BROOKLINE AVE, DANA - 2, POPC, BOSTON, MA 02215-5418
(617) 632-6464
(617) 632-6180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
151005
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
151005
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131547
—
MA
01
—
014523
TUFTS HEALTH PLAN
—
01
—
1427001197
NHP
MA
01
—
1507407
CIGNA
MA
01
—
5341530
AETNA
MA
01
—
54745
FALLON
MA
01
—
6000260 OR AA98338
HARVARD PILGRIM
MA
01
—
97161802
NETWORK HEALTH
MA
01
—
J23531
BCBS MA
MA
01
—
P00278201
MEDICARE RAILROAD
—
Enumeration date
05/17/2006
Last updated
05/05/2014
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