Provider Demographics
| NPI: | 1730050394 |
|---|---|
| Name: | KAPLOWE, JOSEPH LOUIS III (PA) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | JOSEPH |
| Middle Name: | LOUIS |
| Last Name: | KAPLOWE |
| Suffix: | III |
| Gender: | M |
| Credentials: | PA |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 1290 SILAS DEANE HWY |
| Mailing Address - Street 2: | HHC-CVO |
| Mailing Address - City: | WETHERSFIELD |
| Mailing Address - State: | CT |
| Mailing Address - Zip Code: | 06109-4337 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 455 LEWIS AVE STE 103 |
| Practice Address - Street 2: | |
| Practice Address - City: | MERIDEN |
| Practice Address - State: | CT |
| Practice Address - Zip Code: | 06451-2121 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 203-694-7550 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2025-09-16 |
| Last Update Date: | 2025-10-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CT | 23.007322 | 363AS0400X, 363A00000X, 363AM0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| No | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
| No | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |