Individual provider · Type 1 NPI

Nicholas R. Klock, PA-C

Medical Physician Assistant · Newark, DE

NPI number 1629420435 Active

Practice location

4755 Ogletown Stanton Road, Suite 5A43
Newark, DE 19718-2200

Call (302) 623-0188 Map

Fax (302) 733-5640

Mailing address

200 Hygeia Drive, Cchs Physician Contracting, Suite 2300
Newark, DE 19713-2049

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XC5-0001149 (DE)

Medical Physician Assistant: Definition to come...

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About NPI 1629420435

Nicholas R. Klock, PA-C's National Provider Identifier is 1629420435, issued on Jul 5, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Aug 23, 2017.