Paul E Klaverweiden Jr.


Address: 104 C Williamsport Cir, Salisbury, MD 21804-6400

Paul E Klaverweiden Jr. (NPI# 1760984454, PAC ID# 5193089126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1760984454
PAC ID by PECOS 5193089126
Professional Enrollment ID I20180427001871
Full Name Paul E Klaverweiden Jr.
Address 104 C Williamsport Cir
Salisbury
MD 21804-6400
Gender M
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210037 UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON
210045 MCCREADY HEALTH

Other Locations

Address Phone Organization
300 Scheeler Rd, Chestertown, MD 21620-1014 41077813502248 KENT COUNTY HEALTH DEPT
104 C Williamsport Cir, Salisbury, MD 21804-6400

Organization Information

Office Location

Street Address 104 C WILLIAMSPORT CIR
City SALISBURY
State MD
Zip 21804-6400

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Competitor

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City SALISBURY
Zip Code 21804
Specialty NURSE PRACTITIONER
City + Specialty SALISBURY + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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