Provider Demographics
NPI:1750448007
Name:KLEIN, RONA (MD)
Entity type:Individual
Prefix:DR
First Name:RONA
Middle Name:
Last Name:KLEIN
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 1:780 BOYLSTON ST
Mailing Address - Street 2:7J
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02199-7820
Mailing Address - Country:US
Mailing Address - Phone:857-991-1582
Mailing Address - Fax:
Practice Address - Street 1:780 BOYLSTON ST
Practice Address - Street 2:7J
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02199-7820
Practice Address - Country:US
Practice Address - Phone:857-991-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA326022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB75983Medicare UPIN
MARX7691Medicare PIN