Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 131109 | NY |
N | 207KA0200X | Allergist | MA33401 | NJ |
NPI | 1235196452 |
---|---|
Provider Name | Dr. Robert Michael Klein |
First Address | Wayne, NJ 07470-8506 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 30/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03509762332 | MEDICAL EDUCATION # (01) | NJ |
1826808 | (05) | NJ |
C55615 | (02) | NJ |