Provider Demographics
NPI:1639194376
Name:KAPLAN, ALLAN JAY (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:JAY
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 1:22 STATION AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2092
Mailing Address - Country:US
Mailing Address - Phone:207-373-6848
Mailing Address - Fax:207-373-6849
Practice Address - Street 1:22 STATION AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2092
Practice Address - Country:US
Practice Address - Phone:207-373-6848
Practice Address - Fax:207-373-6849
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00045342207Q00000X
ME017333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEME219502Medicare PIN