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Provider Information for 1487048906

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. MOSHE KLAUSNER MD

Gender: MALE

Individual NPI: 1487048906

Calendar   Last Updated:  2022-01-02
  Certification Date:  2022-01-02

Details

Name Value
NPI 1487048906
Enumeration Date 2015-03-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1029 PLEASANT STREET SUITE 100
BRIDGEWATER, MA 02324
United States

Phone: 508-697-8116 | Fax: 508-697-8117
View Map External Link
Primary Practice Address 1029 PLEASANT STREET SUITE 100
BRIDGEWATER, MA 02324
United States

Phone: 508-697-8116 | Fax: 508-697-8117
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MA 110081872A
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics MA 274092
No 390200000X - Student in an Organized Health Care Education/Training Program