Provider Demographics
NPI:1306810197
Name:HALPIN, MARY M (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:HALPIN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2500 HOSPITAL DRIVE
Mailing Address - Street 2:BLDG 12
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:650-968-1605
Mailing Address - Fax:650-968-4542
Practice Address - Street 1:2500 HOSPITAL DRIVE
Practice Address - Street 2:BLDG 12
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:650-968-1605
Practice Address - Fax:650-968-4542
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA54561208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics