Provider Demographics
NPI:1841299955
Name:KAPLAN, DAVID BRUCE (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRUCE
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 COTTAGE ST
Mailing Address - Street 2:SUITE #705
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3348
Mailing Address - Country:US
Mailing Address - Phone:617-694-7380
Mailing Address - Fax:201-808-2740
Practice Address - Street 1:66 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-3527
Practice Address - Country:US
Practice Address - Phone:617-694-7380
Practice Address - Fax:201-808-2740
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1826213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0362441Medicaid
T58797Medicare UPIN
MA0362441Medicaid