Provider Demographics
NPI:1619465028
Name:MARK D. KLAIMAN, M.D., L.C. PT
Entity Type:Organization
Organization Name:MARK D. KLAIMAN, M.D., L.C. PT
Other - Org Name:POINT PERFORMANCE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDESBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CMPE
Authorized Official - Phone:301-493-8885
Mailing Address - Street 1:6400 GOLDSBORO RD STE 340
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-5824
Mailing Address - Country:US
Mailing Address - Phone:301-493-8884
Mailing Address - Fax:
Practice Address - Street 1:6400 GOLDSBORO RD STE 340
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-5824
Practice Address - Country:US
Practice Address - Phone:301-493-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARK D. KLAIMAN, M.D., L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
A078OtherCAREFIRST