Individual
PAUL HARVEY KLENOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 W PARK AVE, OCEAN, NJ 07712
(732) 493-3337
(732) 493-4463
Mailing address
804 W PARK AVE, OCEAN, NJ 07712
(732) 493-3337
(732) 493-4463
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA027572
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110963000
AMERIHEALTH
—
01
—
0227878001
CIGNA
—
01
—
33762
AETNA
—
01
—
36F952
EMPIRE BCBS
—
01
—
MS076
OXFORD
—
01
—
OK9792
HEALTHNET
—
Enumeration date
02/14/2006
Last updated
10/08/2009
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