Provider Demographics
NPI:1588618425
Name:KAPLAN, ANDREW LAURENCE (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LAURENCE
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 OFFICE CENTER DR
Mailing Address - Street 2:SUITE 195
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3220
Mailing Address - Country:US
Mailing Address - Phone:215-710-3021
Mailing Address - Fax:215-654-1015
Practice Address - Street 1:501 OFFICE CENTER DRIVE
Practice Address - Street 2:SUITE 195
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034
Practice Address - Country:US
Practice Address - Phone:215-710-3021
Practice Address - Fax:215-654-1015
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428300207ND0101X, 207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I10845Medicare UPIN