Healthcare Provider Details

I. General information

NPI: 1396724340
Provider Name (Legal Business Name): DAVID A KLEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MAIN ST
SHREWSBURY MA
01545-2932
US

IV. Provider business mailing address

555 MAIN ST
SHREWSBURY MA
01545-2932
US

V. Phone/Fax

Practice location:
  • Phone: 508-842-2010
  • Fax: 508-842-8790
Mailing address:
  • Phone: 508-842-2010
  • Fax: 508-842-8790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number81930
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: