Provider Demographics
NPI:1538163134
Name:KLEAR, HARRIS L (DPM)
Entity type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:L
Last Name:KLEAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 ROUTE 73 S
Mailing Address - Street 2:STE 103A
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4142
Mailing Address - Country:US
Mailing Address - Phone:856-983-7200
Mailing Address - Fax:856-983-6111
Practice Address - Street 1:750 ROUTE 73 S
Practice Address - Street 2:STE 103A
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4142
Practice Address - Country:US
Practice Address - Phone:856-983-7200
Practice Address - Fax:856-983-6111
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD00925213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU24001Medicare UPIN
NJ077105Medicare ID - Type Unspecified