Individual
JOHN KLEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 MARYLAND RD, SUITE 160, WILLOW GROVE, PA 19090-1109
(215) 672-6622
(215) 672-6566
Mailing address
2510 MARYLAND RD, SUITE 160, WILLOW GROVE, PA 19090-1109
(215) 672-6622
(215) 672-6566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD417358
PA
Other
Enumeration date
06/16/2005
Last updated
08/04/2010
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