Individual
DR. STEPHEN CHARLES KLEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 HIGH ST, CTN CHARLESTOWN HEALTHCARE CENTER, CHARLESTOWN, MA 02129-3026
(617) 724-8200
(617) 726-3514
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-8200
(617) 726-3514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037445
TUFTS HEALTH PLAN
MA
05
—
6184375
—
MA
Enumeration date
10/27/2005
Last updated
11/09/2012
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