Provider Demographics
NPI:1952367401
Name:KLAIN, MATTHEW N (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:N
Last Name:KLAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 COLONY BOULEVARD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-7971
Mailing Address - Country:US
Mailing Address - Phone:724-459-9111
Mailing Address - Fax:724-459-7856
Practice Address - Street 1:25 COLONY BOULEVARD
Practice Address - Street 2:SUITE 102
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-7971
Practice Address - Country:US
Practice Address - Phone:724-459-9111
Practice Address - Fax:724-459-7856
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD41299L207R00000X
PAMD041299L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA598217Medicare PIN
PAE40067Medicare UPIN