Provider Demographics
NPI:1245306455
Name:ROBERT M KLEIN MD
Entity type:Organization
Organization Name:ROBERT M KLEIN MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF ORGANIZATION
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-773-7400
Mailing Address - Street 1:1005 CLIFTON AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3520
Mailing Address - Country:US
Mailing Address - Phone:973-773-7400
Mailing Address - Fax:973-779-5224
Practice Address - Street 1:1005 CLIFTON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3520
Practice Address - Country:US
Practice Address - Phone:973-773-7400
Practice Address - Fax:973-779-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33401207KA0200X
207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ061685OtherMEDICARE GROUP NUMBER
NJX78235Medicare UPIN
NJ061685OtherMEDICARE GROUP NUMBER