Doctor Name: | DR. JAMES JOSEPH KLOCEK |
NPI Number: | 1013904788 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 01199 |
Business Practice Address: | 106 Milford St Suite 504-a Salisbury, MD - 218046953 |
Business Phone Number: | 4105462288 |
Business Fax Number: | 4105462339 |
Mailing Address: | 106 Milford St, Suite 504-a SALISBURY |
State: | MD |
Postal Code: | 218046953 |
Phone Number: | 4105462288 |
Fax Number: | 4105462339 |
NPI Enumeration Date: | 09/28/2005 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 01199 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |