Provider Demographics
NPI:1871534479
Name:KLEIN, BRUCE PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:PAUL
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:229 PARRISH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1791
Mailing Address - Country:US
Mailing Address - Phone:585-394-1960
Mailing Address - Fax:585-393-9232
Practice Address - Street 1:229 PARRISH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1791
Practice Address - Country:US
Practice Address - Phone:585-394-1960
Practice Address - Fax:585-393-9232
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY188806207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01337237Medicaid
NY7801366OtherAETNA
NY2332OtherEXCELLUS ROCHESTER
NY923294001OtherHEALTHNOW
NY0500475OtherGHI
NY102697CUOtherPREFERRED CARE
NY010188806OtherEXCELLUS ROCHESTER
NY2332OtherEXCELLUS ROCHESTER
NY102697CUOtherPREFERRED CARE