Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | D0052120 | MD |
NPI | 1215978564 |
---|---|
Provider Name | Dr. Philip Jonathan Kaplan |
First Address | Rockville, MD 20850-2872 |
Second Address | Silver Spring, MD 20910-1483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 18/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G54732 | (02) | MD |