Individual
BRYAN W KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 300, ALLENTOWN, PA 18103-6224
(610) 402-3110
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS005012L
PA
Other
Enumeration date
08/20/2006
Last updated
11/23/2015
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