Individual
SHANON J KLEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 W 23RD ST, NEW YORK, NY 10010-4205
(212) 367-7626
Mailing address
PO BOX 724, MILLBURN, NJ 07041-0724
(973) 660-9334
(973) 660-9779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08705400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241156
—
NJ
01
—
254479
LICENSE
NY
Enumeration date
08/17/2010
Last updated
03/29/2018
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