Klodnicki, Walter
Klodnicki, Walter is an individual health care provider with primary practice located at 1 Brace Road Suite C, Cherry Hill NJ 08034-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Klodnicki, Walter can be contacted via phone (856) 428-4100.Contact Information
Primary practice address
1 Brace Road Suite C
Cherry Hill NJ 08034-2624
Phone: (856) 428-4100
Fax: (856) 428-5748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA04290500 | New Jersey |
Profile Details
| NPI number | 1437120078 |
|---|---|
| LBN Legal business name | Klodnicki, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | May 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437120078 | NPPES |
| New Jersey | MEDICAID | 1706101 |
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