Organization
BARBARA A. KLATCHKO, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A. KLATCHKO M.D. (PRESIDENT)
(717) 274-5440
Entity
Organization
Contact information
Practice address
402 S 12TH ST, LEBANON, PA 17042-6617
(717) 274-5200
(717) 274-5440
Mailing address
402 S 12TH ST, LEBANON, PA 17042-6617
(717) 274-5200
(717) 274-5440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044211E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012789490004
—
PA
01
—
01968502
BLUE CROSS
—
01
—
1519910
GATEWAY
PA
01
—
4253876
AETNA
—
01
—
612189
BLUE SHIELD
—
01
—
A0612189
HEALTH ONE
—
01
—
P-42051920
MULTI-PLAN
—
Enumeration date
05/04/2006
Last updated
03/11/2009
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