Healthcare Provider Details

I. General information

NPI: 1003079476
Provider Name (Legal Business Name): BENJAMIN J KLEINMAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PINE HEIGHTS AVE STE 300
BALTIMORE MD
21229-5285
US

IV. Provider business mailing address

1001 PINE HEIGHTS AVE STE 300
BALTIMORE MD
21229-5285
US

V. Phone/Fax

Practice location:
  • Phone: 410-247-5333
  • Fax: 410-242-5449
Mailing address:
  • Phone: 410-247-5333
  • Fax: 410-242-5449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number01512
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: