Organization
DR. IRVING J. KLEIN,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING JAY KLEIN D.O. (CHAIRMAN)
(856) 456-0400
Entity
Organization
Contact information
Practice address
237 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1718
(856) 456-0400
(856) 456-3011
Mailing address
237 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1718
(856) 456-0400
(856) 456-3011
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MB02059100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2705206
—
NJ
Enumeration date
05/12/2010
Last updated
05/12/2010
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