| |
5205 East Dr, Suite I, Arbutus, MD 21227-2403 | |
(410) 247-5333 | |
(410) 242-5449 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 5205 East Dr, Arbutus, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467679530 | NPI | - | NPPES |
6004181 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Benjamin Kleinman |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1003079476 PECOS PAC ID: 3577759703 Enrollment ID: I20120830000227 |
Mailing Address | Practice Location Address |
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5205 East Dr, Suite I, Arbutus, MD 21227-2403 Ph: (410) 247-5333 | 5205 East Dr, Suite I, Arbutus, MD 21227-2403 Ph: (410) 247-5333 |
Benjamin J Kleinman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5205 East Dr, Ste. I, Arbutus, MD 21227 Phone: 410-247-5333 Fax: 410-242-5449 |