Individual
JASON I HALPERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03447
RI
2085R0202X
Diagnostic Radiology Physician
282604
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD15973
RI
Other
Enumeration date
05/18/2015
Last updated
04/08/2021
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