Provider Demographics
NPI:1225165962
Name:KAPLON, CHARLOTTE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:A
Last Name:KAPLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:188 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PLUMVILLE
Practice Address - State:PA
Practice Address - Zip Code:16246-0000
Practice Address - Country:US
Practice Address - Phone:724-397-9008
Practice Address - Fax:724-397-9015
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030968E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102023473Medicaid
PA102023473Medicaid
PA480483Medicare PIN