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Individual
DR. IRA MITCHELL KLEIN
Active
Individual
DR. IRA MITCHELL KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MA05963100
NJ
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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