| Organization Name: | BRADLEY H KLINE DO LLC |
| NPI Number: | 1053634956 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD HOWARD KLINE (OWNER) |
| Mailing Address: | 4105 Us Highway 1 Suite One Monmouth Junction |
| State: | NJ US |
| Postal Code: | 088522157 |
| Phone Number: | 7323298585 |
| Fax Number: | 7323295668 |
| NPI Enumeration Date: | 03/05/2010 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 25MB04326600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |