Basic Information
| Provider Information | |||||||||
| NPI: | 1407864663 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLEIN | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 GALLOPING HILL RD STE 305 | ||||||||
| Address2: | ASSOCIATED RETINAL CONSULTANTS | ||||||||
| City: | UNION | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070837991 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9084588333 | ||||||||
| FaxNumber: | 9084588339 | ||||||||
| Practice Location | |||||||||
| Address1: | 3332 ROCHAMBEAU AVE FL 3 | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104672836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189205520 | ||||||||
| FaxNumber: | 7188815439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 04/27/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207WX0107X | 109129 | NY | N | 207WX0107X | 30007 | NJ | N | 207W00000X | 30007 | NJ | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.