Provider Demographics
NPI:1205386893
Name:CAPLAN, KAREN (RD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 BROOKSIDE TER
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4412
Mailing Address - Country:US
Mailing Address - Phone:973-214-2588
Mailing Address - Fax:
Practice Address - Street 1:333 PASSAIC AVE
Practice Address - Street 2:#3
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2028
Practice Address - Country:US
Practice Address - Phone:862-702-8919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ808368133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered