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NPI Code Detail

MEDICARE: JOHN JUDE KLEIN D.O.

MEDICARE: JOHN JUDE KLEIN D.O.
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
1174400000XSpecialist25MB07895900NJ
2207L00000XAnesthesiology Physician25MB07895900NJ

General Provider Information

NPI Number : 1912900549
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JUDE KLEIN D.O.
Provider Business Mailing Address
First Line : 718 TEANECK RD
Second Line :
City : TEANECK
State : NJ
Zip : 07666-4245
Country : US
Telephone Number : 201-833-3000
Fax Number :
Provider Business Practice Location Address
First Line : 718 TEANECK RD
Second Line :
City : TEANECK
State : NJ
Zip : 07666-4245
Country : US
Telephone Number : 973-833-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/21/2022

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