Provider Demographics
NPI:1780695676
Name:KLAPPER, ALLEN MICHAEL (PAC)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:MICHAEL
Last Name:KLAPPER
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1738 W CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-1546
Mailing Address - Country:US
Mailing Address - Phone:215-548-3390
Mailing Address - Fax:215-549-8998
Practice Address - Street 1:1738 W CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19126-1546
Practice Address - Country:US
Practice Address - Phone:215-548-3390
Practice Address - Fax:215-549-8998
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA000318L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical