Healthcare Provider Details

I. General information

NPI: 1063468502
Provider Name (Legal Business Name): BARRY ALAN KLEIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 BROAD ST BOX 208
FLORENCE NJ
08518-1911
US

IV. Provider business mailing address

315 BROAD ST BOX 208
FLORENCE NJ
08518-1911
US

V. Phone/Fax

Practice location:
  • Phone: 609-499-1181
  • Fax: 609-499-8117
Mailing address:
  • Phone: 609-499-1181
  • Fax: 609-499-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. BARRY ALAN KLEIN
Title or Position: PARTNER
Credential: D.P.M.
Phone: 609-499-1181