IndividualActive
Nicholas Klock, PA-C
NPI 1629420435 · Medical Physician Assistant · Newark, DE
Provider details
- NPI number
- 1629420435
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4755 Ogletown Stanton Road
Suite 5a43
Newark, DE 19718-2200
Phone: (302) 623-0188
Fax: (302) 733-5640
Approximate (ZIP-level) locationGet directions
Mailing address
200 Hygeia Drive
Newark, DE 19713-2049
Registry dates
- Enumerated
- 2016-07-05
- Last updated
- 2017-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.