Basic Information
| Provider Information | |||||||||
| NPI: | 1578591228 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HALPERN | ||||||||
| FirstName: | JANE | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., M.P.H., DR.PH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1219 ROUNDHILL RD | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212181448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103664823 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8000 YORK RD | ||||||||
| Address2: | TOWSON UNIVERSITY/DOWELL HEALTH CENTER | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212520001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107042466 | ||||||||
| FaxNumber: | 4107043715 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D23546 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.