Mr. Stan Kletkewicz Jr., MA
Counselor, Professional in Medford, New Jersey
1790143626- Practice location
- 66 N Main St, Medford, NJ 08055-2719
- Phone
- 856-912-8834
- Fax
- —
- Last updated
- February 6, 2016
Stan Kletkewicz is a Counselor, Professional based in Medford, NJ. Stan Kletkewicz practices in Medford, NJ and has the professional credentials of MA. The NPI Number for Stan Kletkewicz is 1790143626 and holds a License No. 37AC00231700 (NJ). The current practice location address for Stan Kletkewicz is 66 N Main St, Medford, NJ 08055-2719 and can be reached out via phone at 856-912-8834.
Provider Profile Details
- NPI Number
- 1790143626
- Provider Name
- Stan Kletkewicz
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 66 N Main St, Medford, NJ 08055-2719
- Phone Number
- 856-912-8834
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 6, 2016
- Last Update Date
- February 6, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 N Main St
Medford, NJ 08055-2719 - City
- Medford
- State
- New Jersey
- Zip
- 08055-2719
- Phone Number
- 856-912-8834
Provider Business Mailing Address Details
- Address
- 1436 Hainesport RD
Mount Laurel, NJ 08054-9509 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-9509
- Phone Number
- 856-912-8834
License Information
- License Number
- 37AC00231700
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Stan Kletkewicz Jr., MA?
The NPI number of Mr. Stan Kletkewicz Jr., MA is 1790143626. It was assigned on February 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Stan Kletkewicz Jr., MA?
Mr. Stan Kletkewicz Jr., MA is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00231700.
Where does Mr. Stan Kletkewicz Jr., MA practice?
The practice location is 66 N Main St, Medford, NJ 08055-2719. The office can be reached at 856-912-8834 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790143626 directly on the NPPES registry website.