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Individual

MATTHEW T KLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 S BRYN MAWR AVE, STE 200, BRYN MAWR, PA 19010-3123
(610) 527-9500
(610) 527-8166
Mailing address
P.O. BOX 12870, WILMINGTON, DE 19850-2870
(800) 526-3536
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
C1-0006716
DE
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD029145E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001049552
PA
01
5658052
AETNA
PA
01
P00972273
RAILROAD MEDICARE
PA
Enumeration date
04/15/2006
Last updated
08/01/2013
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