Provider Demographics
NPI:1750312203
Name:KLINOW, LINDA F (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:F
Last Name:KLINOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HAVERFORD RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-527-4715
Mailing Address - Fax:610-527-3649
Practice Address - Street 1:950 HAVERFORD RD
Practice Address - Street 2:SUITE 107
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-527-4715
Practice Address - Fax:610-527-3649
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028384E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E63629Medicare UPIN