Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 71916 | MA |
N | 2084N0600X | Clinical Neurophysiologist | 71916 | MA |
NPI | 1003820325 |
---|---|
Provider Name | Alexander S Kloman |
First Address | Pittsfield, MA 01201-4147 |
Second Address | Pittsfield, MA 01201-4147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 25/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
147915 | (05) | AL |
18776 | HNE IND (01) | MA |
22838 | BMC HN IND (01) | MA |
E97163 | (02) | |
J11570 | BCBS IND (01) | MA |