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NPI Code Detail

MEDICARE: JESSIE KLAR PA-C

MEDICARE:   JESSIE  KLAR  PA-C
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
1363A00000XPhysician Assistant25MP00870200NJ

General Provider Information

NPI Number : 1417784968
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSIE KLAR PA-C
Provider Business Mailing Address
First Line : 331 NEWMAN SPRINGS RD STE 220
Second Line :
City : RED BANK
State : NJ
Zip : 07701-5792
Country : US
Telephone Number : 732-807-0877
Fax Number :
Provider Business Practice Location Address
First Line : 21 KILMER DR STE A
Second Line :
City : MORGANVILLE
State : NJ
Zip : 07751-1568
Country : US
Telephone Number : 732-967-6444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2024
Last Update Date : 01/08/2025

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Directions to “ JESSIE KLAR PA-C” Practice Location

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