Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD029699E | PA |
N | 207KA0200X | Allergist | MD 029699E | PA |
NPI | 1508886243 |
---|---|
Provider Name | Dr. Thomas E Klein |
First Address | Havertown, PA 19083-0947 |
Second Address | Havertown, PA 19083-5210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 07/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C 32197 | (02) |