Provider Demographics
NPI:1457375578
Name:KAPLAN, BERNARD S (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:S
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - NEPHROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2449
Practice Address - Fax:215-590-0425
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-11-02
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Provider Licenses
StateLicense IDTaxonomies
PAMD039924E2080P0210X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2164001Medicaid
PA001103488Medicaid
PA503582Medicare ID - Type Unspecified
NJ2164001Medicaid