Individual
MATTHEW KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SECOND AVENUE, MONMOUTH MEDICAL CENTER, LONG BRANCH, NJ 07740
(732) 222-5200
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
220847
NY
207L00000X
Anesthesiology Physician
Primary
25MA08254500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159735
—
NJ
05
—
02166250
—
NY
01
—
050089962
RAILROAD MEDICARE
NY
01
—
7L8201
EMPIRE MEDICARE
NY
01
—
CE9959
RAILROAD MEDICARE GROUP
NY
Enumeration date
08/11/2005
Last updated
04/17/2015
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