JUSTIN HALTERMAN

PROVIDENCE, RI
NPI1952142218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06368)
Enumeration Date2024-06-03
Last Update Date2024-06-05
Business Address
JUSTIN HALTERMAN MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
JUSTIN HALTERMAN MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741