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NPI Code Detail

MEDICARE: ROBERT C KLEINER M.D.

MEDICARE: ROBERT C KLEINER 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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianMD028767EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063408987
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT C KLEINER M.D.
Provider Business Mailing Address
First Line : 124 DEKALB PIKE
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-1853
Country : US
Telephone Number : 215-699-7600
Fax Number : 215-699-4758
Provider Business Practice Location Address
First Line : 124 DEKALB PIKE
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-1853
Country : US
Telephone Number : 215-699-7600
Fax Number : 215-699-4758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 06/24/2020

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