Organization
BROAD RIPPLE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HALBERSTADT DO (DOCTOR)
(317) 875-0009
Entity
Organization
Contact information
Practice address
6527 CARROLLTON AVE, INDIANAPOLIS, IN 46220-1664
(317) 875-0009
(317) 875-3993
Mailing address
6527 CARROLLTON AVE, INDIANAPOLIS, IN 46220-1664
(317) 875-0009
(317) 875-3993
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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