Provider Demographics
NPI:1801835137
Name:KAPLAN, CAROL ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELLEN
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 1:1009 SWALLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2805
Mailing Address - Country:US
Mailing Address - Phone:856-428-9217
Mailing Address - Fax:856-428-9217
Practice Address - Street 1:1009 SWALLOW DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2805
Practice Address - Country:US
Practice Address - Phone:856-328-9217
Practice Address - Fax:856-428-9217
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053957L2085R0202X
NJMA062606002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014777370008Medicaid
PA0014777370008Medicaid
PAF87251Medicare UPIN