Provider Demographics
NPI:1366713182
Name:KLEINMAN, PAUL R
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:R
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2207
Mailing Address - Country:US
Mailing Address - Phone:973-520-8536
Mailing Address - Fax:973-520-8539
Practice Address - Street 1:17 E WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2207
Practice Address - Country:US
Practice Address - Phone:973-520-8536
Practice Address - Fax:973-520-8539
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1242237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist