Individual
ALEXANDER DAVID KLEBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2065
(908) 522-5763
Mailing address
PO BOX 412826, BOSTON, MA 02241-2526
(610) 892-8889
(484) 446-8005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11953200
NJ
2085R0202X
Diagnostic Radiology Physician
311172-01
NY
Other
Enumeration date
05/13/2016
Last updated
10/26/2023
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