MEDICARE: ALYSSA 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207N00000X	Dermatology Physician	D0089013	MD

General Provider Information

NPI Number	:	1598111254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA KLEIN MD

Provider Business Mailing Address
First Line	:	569 W LANCASTER AVE
Second Line	:
City	:	HAVERFORD
State	:	PA
Zip	:	19041-1416
Country	:	US
Telephone Number	:	610-525-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 CROOKED OAK DR STE 200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4278
Country	:	US
Telephone Number	:	717-569-3279
Fax Number	:

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

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	06/03/2026

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Directions to “ ALYSSA KLEIN MD” Practice Location

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