Klein, Amanda

Klein, Amanda is an individual health care provider with primary practice located at 300 Broadway , Somerville MA 02145-2935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klein, Amanda can be contacted via phone (617) 284-7000.

Contact Information

Primary practice address
300 Broadway Somerville MA 02145-2935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 217111 Massachusetts

Profile Details

NPI number 1003854399
LBN Legal business name Klein, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003854399 NPPES
Massachusetts MEDICAID 2111047

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