Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD049180L | PA |
N | 207VE0102X | Reproductive Endocrinologist | MD049180L | PA |
NPI | 1003835786 |
---|---|
Provider Name | Dr. Thomas A. Klein |
First Address | Philadelphia, PA 19106-4404 |
Second Address | Philadelphia, PA 19107-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 31/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001403439 | (05) | PA |
7608802 | (05) | NJ |