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NPI Code Detail

MEDICARE: ELIZABETH S KLEIN PA-C

MEDICARE: ELIZABETH S KLEIN 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
1363AS0400XSurgical Physician Assistant25MP00249100NJ

General Provider Information

NPI Number : 1669774360
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH S KLEIN PA-C
Provider Business Mailing Address
First Line : 950 PULASKI DR
Second Line : STE 100
City : KING OF PRUSSIA
State : PA
Zip : 19406-2802
Country : US
Telephone Number : 610-768-5945
Fax Number : 610-768-5947
Provider Business Practice Location Address
First Line : 222 NEW RD STE 201
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1281
Country : US
Telephone Number : 609-788-8593
Fax Number : 609-904-6929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2010
Last Update Date : 07/08/2022

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