Provider Demographics
NPI: | 1508843582 |
---|---|
Name: | KAPLAN, JOANNE L (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | JOANNE |
Middle Name: | L |
Last Name: | KAPLAN |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 56 NEW DRIFTWAY |
Mailing Address - Street 2: | |
Mailing Address - City: | SCITUATE |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02066-4533 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 781-545-7243 |
Mailing Address - Fax: | 781-210-2854 |
Practice Address - Street 1: | 56 NEW DRIFTWAY |
Practice Address - Street 2: | |
Practice Address - City: | SCITUATE |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02066-4533 |
Practice Address - Country: | US |
Practice Address - Phone: | 781-545-7243 |
Practice Address - Fax: | 781-210-2854 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-12-29 |
Last Update Date: | 2008-05-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 73642 | 207Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MA | 2073081 | Medicaid | |
MA | 7997 | Other | HARVARD PILGRIM |
MA | 073642 | Other | TUFTS HEALTH PLAN |
MA | J12952 | Other | BLUE CROSS BLUE SHIELD |
MA | 7997 | Other | HARVARD PILGRIM |
MA | E38499 | Medicare UPIN | |
MA | CA0843 | Medicare PIN |