Individual
STEPHEN K KLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(215) 327-5284
Mailing address
512 S 3RD ST, PHILADELPHIA, PA 19147-2350
(215) 327-5284
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD022242E
PA
207V00000X
Obstetrics & Gynecology Physician
ME94024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273489300
—
FL
01
—
28708
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/15/2006
Last updated
03/07/2017
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