Individual
DR. RONALD ELLIS KLEINMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 6, BOSTON, MA 02114-2621
(617) 726-1450
(617) 724-2710
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
41023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110043
—
MA
01
—
702613
TUFTS HEALTH PLAN
MA
01
—
E05243
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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