Basic Information
Provider Information
NPI: 1922111616
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KLEIN
FirstName: HARLAN
MiddleName: PHILIP
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8500
Address2: LOCKBOX 7642
City: PHILADELPHIA
State: PA
PostalCode: 191787642
CountryCode: US
TelephoneNumber: 8132818115
FaxNumber: 8132818656
Practice Location
Address1: 1310 PUNAHOU ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968261027
CountryCode: US
TelephoneNumber: 8089414466
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 11/30/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD12401HIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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