Individual
NATHAN JOHN KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 459-0123
Mailing address
51 N 39TH ST STE 1, PHILADELPHIA, PA 19104-2640
(215) 662-7323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD477357
PA
2086S0102X
Surgical Critical Care Physician
MD477357
PA
2086S0127X
Trauma Surgery Physician
MD477357
PA
Other
Enumeration date
04/03/2012
Last updated
01/21/2023
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