Stephanie Klein, | |
300 Brookside Ave, Ambler, PA 19002-3436 | |
(877) 842-2425 | |
Not Available |
Full Name | Stephanie Klein |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 300 Brookside Ave, Ambler, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134523053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86027071 (Pennsylvania) | Primary |
Provider Name | Simplex Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598137218 PECOS PAC ID: 8022354182 Enrollment ID: O20190110000206 |
Mailing Address | Practice Location Address |
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Stephanie Klein, 300 Brookside Ave, Ambler, PA 19002-3436 Ph: (877) 842-2425 | Stephanie Klein, 300 Brookside Ave, Ambler, PA 19002-3436 Ph: (877) 842-2425 |
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