Provider Demographics
NPI:1235196452
Name:KLEIN, ROBERT MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8718 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8506
Mailing Address - Country:US
Mailing Address - Phone:973-650-9317
Mailing Address - Fax:818-745-1201
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:PH BUILDING, 17TH FLOOR, EAST WING, ROOM 114
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-2300
Practice Address - Fax:212-305-4538
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33401207KA0200X
NY131109207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ03509762332OtherMEDICAL EDUCATION #
NJ1826808Medicaid
NJKL454607Medicare ID - Type Unspecified
NJ03509762332OtherMEDICAL EDUCATION #