Provider Demographics
NPI:1376570986
Name:KLEINERMAN, MARTHA JOAN (RN,C MS)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:JOAN
Last Name:KLEINERMAN
Suffix:
Gender:F
Credentials:RN,C MS
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Mailing Address - Street 1:9 GLEN RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2322
Mailing Address - Country:US
Mailing Address - Phone:617-667-4441
Mailing Address - Fax:617-667-9711
Practice Address - Street 1:9 GLEN ROAD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-667-4441
Practice Address - Fax:617-667-9711
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA119853363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA363LW0102XMedicare UPIN