Provider Demographics
NPI:1437656642
Name:POPLINGER, GILAD (MA)
Entity Type:Individual
Prefix:
First Name:GILAD
Middle Name:
Last Name:POPLINGER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LISCOMB ST APT 3-2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1664
Mailing Address - Country:US
Mailing Address - Phone:281-513-8906
Mailing Address - Fax:
Practice Address - Street 1:1205 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5903
Practice Address - Country:US
Practice Address - Phone:281-513-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health