Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 10476 | RI |
NPI | 1972541134 |
---|---|
Provider Name | Robert B Klein |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 31/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7008736 | (05) | RI |
E46307 | (02) | RI |