MEDICARE: ALAN J KLUGER M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	142537	NY

General Provider Information

NPI Number	:	1952395683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN J KLUGER M.D.

Provider Business Mailing Address
First Line	:	935 NORTHERN BLVD
Second Line	:	SUITE 106
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5309
Country	:	US
Telephone Number	:	516-466-4227
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 NORTHERN BLVD
Second Line	:	SUITE 106
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5309
Country	:	US
Telephone Number	:	516-466-4227
Fax Number	:

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	09/06/2023

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