MEDICARE: DR. ANDREW HALTOF DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	1486	ME
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	032.0134189	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225033277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW HALTOF DO

Provider Business Mailing Address
First Line	:	PO BOX 126
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05302-0126
Country	:	US
Telephone Number	:	802-302-6337
Fax Number	:	802-490-2174

Provider Business Practice Location Address
First Line	:	167 MAIN ST STE 310
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-3055
Country	:	US
Telephone Number	:	802-302-6337
Fax Number	:	802-490-2174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/17/2026

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