MEDICARE: DR. GREGG KLEIN MD

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
1	207X00000X	Orthopaedic Surgery Physician	25MA07802700	NJ

General Provider Information

NPI Number	:	1528053642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGG KLEIN MD

Provider Business Mailing Address
First Line	:	PO BOX 29008
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07101-9008
Country	:	US
Telephone Number	:	201-845-9300
Fax Number	:	201-845-9301

Provider Business Practice Location Address
First Line	:	650 FROM RD
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3517
Country	:	US
Telephone Number	:	201-639-6620
Fax Number	:	201-972-8980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	04/21/2023

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Directions to “ DR. GREGG KLEIN MD” Practice Location

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