Basic Information
| Provider Information | |||||||||
| NPI: | 1669438925 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HALPERT | ||||||||
| FirstName: | ALBENA | ||||||||
| MiddleName: | D. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 850 HARRISON AVE | ||||||||
| Address2: | YACC BN-C7 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021184001 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 830 HARRISON AVE | ||||||||
| Address2: | MOAKLEY, 2ND FLOOR | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021182905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176386525 | ||||||||
| FaxNumber: | 6176387448 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2006 | ||||||||
| LastUpdateDate: | 12/05/2013 | ||||||||
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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 | 207RG0100X | 222390 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | P00693201 | 01 | MA | RAILROAD MEDICARE | OTHER | 7840391 | 01 | MA | AETNA NON HMO | OTHER | 29-04917 | 01 | MA | EVERCARE | OTHER | 30206995 | 01 | NH | NH MEDICAID | OTHER | 467674 | 01 | MA | TUFTS | OTHER | J28826 | 01 | MA | HMO BLUE | OTHER | 110039703A | 05 | MA | MEDICAID | 968086-02 | 01 | MA | NETWORK | OTHER | AA96987 | 01 | MA | HARVARD PILGRIM HEALTH CARE | OTHER | 1669438925 | 01 | MA | AETNA HMO | OTHER | 2088151 | 05 | MA | MEDICAID | 0034162 | 01 | MA | NEIGHBORHOOD HEALTH PLAN | OTHER | H23761 | 01 | MA | ANTHEM BS | OTHER | 1669438925 | 01 | MA | FALLON COMMUNITY HEALTH PLAN | OTHER | 7926990 | 01 | MA | CIGNA | OTHER | J28226 | 01 | MA | BCBS | OTHER |