Provider Demographics
NPI:1417998493
Name:KLEIN, JONATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 REDLAND CT
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3290
Mailing Address - Country:US
Mailing Address - Phone:410-494-7921
Mailing Address - Fax:410-902-8247
Practice Address - Street 1:1838 GREENE TREE RD
Practice Address - Street 2:SUITE 420
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6391
Practice Address - Country:US
Practice Address - Phone:410-484-9595
Practice Address - Fax:410-484-5139
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2012-08-28
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Provider Licenses
StateLicense IDTaxonomies
MDD41829207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD346441500Medicaid
MD346441500Medicaid
MDF19288Medicare UPIN