Healthcare Provider Details

I. General information

NPI: 1356393466
Provider Name (Legal Business Name): JANENE HECKER KLEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 BLACKBURN RD
SEWICKLEY PA
15143-1459
US

IV. Provider business mailing address

134 GREENBRIAR DR
WEXFORD PA
15090-7384
US

V. Phone/Fax

Practice location:
  • Phone: 412-749-7076
  • Fax:
Mailing address:
  • Phone: 724-940-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD040630L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD040630L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: