Provider Demographics
NPI:1376957001
Name:CAPLAN, NADIA (MD MSC)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:MD MSC
Other - Prefix:
Other - First Name:NADIA TIKVA
Other - Middle Name:
Other - Last Name:KAISERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MSC
Mailing Address - Street 1:330 BROOKLINE AVENUE
Mailing Address - Street 2:SHAPIRO 4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-3552
Mailing Address - Fax:617-667-8212
Practice Address - Street 1:330 BROOKLINE AVENUE
Practice Address - Street 2:SHAPIRO 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-3552
Practice Address - Fax:617-667-8212
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program