Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Halterman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952142218

Justin Halterman, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2024.

Licensed in
RI
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence LP06368 (RI)

Record details

NPI number1952142218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address593 Eddy St, Providence, RI 02903-4923

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