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Individual
HOWARD W KLICKMAN
Active
Individual
HOWARD W KLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282090
—
SC
01
—
4111064
AETNA
SC
05
—
5902122
—
NC
01
—
AA10309068
MEDICARE PIN
SC
01
—
AA1030J577
MEDICARE PIN
SC
01
—
E2006
MEDCOST
SC
Enumeration date
01/27/2006
Last updated
01/28/2021
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