Provider Demographics
NPI:1457463044
Name:KAPLAN, CHARLES DAVID (DPM)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:DAVID
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3226
Mailing Address - Country:US
Mailing Address - Phone:973-365-1000
Mailing Address - Fax:
Practice Address - Street 1:105 UNION ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-3226
Practice Address - Country:US
Practice Address - Phone:973-365-1000
Practice Address - Fax:973-458-8121
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00216000213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist