Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | A90678 | CA |
N | 207W00000X | Ophthalmologist | D0064753 | MD |
Y | 207W00000X | Ophthalmologist | MD423462 | PA |
NPI | 1023053600 |
---|---|
Provider Name | Dr. Colleen Patricia Halfpenny |
First Address | Huntingdon Valley, PA 19006-5321 |
Second Address | Huntingdon Valley, PA 19006-5321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 18/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A906780 | (05) | CA |
1023793680001 | (05) | PA |
130159 | (02) | PA |
411381100 | (05) | MD |
CC3779 | R/R/ MEDICARE GROUP # (01) | MD |
I30159 | (02) | CA |
I30159 | (02) | MD |
P00469002 | R/R MEDICARE PROVIDER # (01) | MD |