Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DI09811 | NJ |
Y | 213EG0000X | General Practice | DI09811 | NJ |
NPI | 1003912932 |
---|---|
Provider Name | Dr. Barry L Kliger |
First Address | Voorhees, NJ 08043-2514 |
Second Address | Voorhees, NJ 08043-2514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2353709 | (05) | NJ |