Provider Demographics
NPI:1265517346
Name:KAPLAN, GLENN S (MD)
Entity type:Individual
Prefix:DR
First Name:GLENN
Middle Name:S
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 PENN SQUARE EAST 9TH FL
Mailing Address - Street 2:CHILDREN'S HEALTH CARE ASSOCIATES
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9408
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:ST. MARY'S MEDICAL CENTER
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:215-710-2000
Practice Address - Fax:215-710-5801
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2019-12-02
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Provider Licenses
StateLicense IDTaxonomies
PAMD023206E2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA953934Medicaid
MD8013012Medicaid
NJ5307406Medicaid
NJ5307406Medicaid
C30692Medicare UPIN