Provider Demographics
NPI:1538207600
Name:HALPERN, MATTHEW EVAN (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:EVAN
Last Name:HALPERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3430
Mailing Address - Country:US
Mailing Address - Phone:610-642-1090
Mailing Address - Fax:610-658-5861
Practice Address - Street 1:6 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3430
Practice Address - Country:US
Practice Address - Phone:610-642-1090
Practice Address - Fax:610-658-5861
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433227207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA131214EGWMedicare PIN