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Individual

MS. NINA J KLEINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
188294
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0356956
MA
01
043202198
GROUP PRACTICE ENROLLMENT
01
043202198008
TRICARE
01
188294
CONNECTICARE OF MA
01
21220008695
BEECH STREET
01
CN0091
BLUE CROSS/BLUE SHIELD
Enumeration date
07/21/2005
Last updated
02/24/2011
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