Provider Demographics
NPI:1861237521
Name:KLEIN, PATRICE N (VMD)
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:N
Last Name:KLEIN
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON GROVE
Mailing Address - State:MD
Mailing Address - Zip Code:20880-1366
Mailing Address - Country:US
Mailing Address - Phone:301-509-2038
Mailing Address - Fax:
Practice Address - Street 1:207 GROVE AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON GROVE
Practice Address - State:MD
Practice Address - Zip Code:20880-2040
Practice Address - Country:US
Practice Address - Phone:301-509-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3881208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice