Individual
DR. MARCIA R KLEIN-CHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
404 MIDDLETOWN BLVD, SUITE 306 PENNS SQUARE, LANGHORNE, PA 19047-1897
(215) 269-3330
(215) 269-3355
Mailing address
404 MIDDLETOWN BLVD, SUITE 306 PENNS SQUARE, LANGHORNE, PA 19047-1897
(215) 269-3330
(215) 269-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009017L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017143680002
—
PA
01
—
0171436802
AMERICHOICE
PA
01
—
029020
KEYSONE HEALTH PLAN EAST
PA
01
—
1103365
KEYSTONE MERCY
PA
01
—
2087258
USHC
PA
01
—
233044033
TAX ID
PA
01
—
KL29020
BLUE SHIELD
PA
01
—
P1092570
OXFORD
PA
Enumeration date
07/18/2006
Last updated
06/18/2021
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