Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 236069 | MA |
NPI | 1023114022 |
---|---|
Provider Name | Neil J. Kluger |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 26/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110080104A | (05) | MA |
G78612 | (02) |