Individual
NANCY MAE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
700 SPRUCE ST BSMT WEST, PHILADELPHIA, PA 19106-4022
(215) 829-3264
Mailing address
1734 MARLTON PIKE E, CHERRY HILL, NJ 08003-2307
(856) 797-0202
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA059263
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00707000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598284093
—
PA
Enumeration date
09/15/2017
Last updated
11/03/2022
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