Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DI10767 | NJ |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DTP730 | FL |
NPI | 1043215205 |
---|---|
Provider Name | Dr. Alan Kleiman |
First Address | Lake Worth, FL 33467-6976 |
Second Address | Cherry Hill, NJ 08003-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 09/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U23957 | (02) |