Provider Demographics
NPI:1669583829
Name:HALABURKA, CHRISTINE CUTLER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CUTLER
Last Name:HALABURKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2505 SAMARITAN DR
Mailing Address - Street 2:607
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4006
Mailing Address - Country:US
Mailing Address - Phone:408-356-9900
Mailing Address - Fax:408-356-9939
Practice Address - Street 1:2505 SAMARITAN DR
Practice Address - Street 2:607
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4006
Practice Address - Country:US
Practice Address - Phone:408-356-9900
Practice Address - Fax:408-356-9939
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG66036208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF66797Medicare UPIN