Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 77877 | MA |
NPI | 1053381962 |
---|---|
Provider Name | Dr. Robert J Kaplan |
First Address | Wilbraham, MA 01095-0391 |
Second Address | Springfield, MA 01118-1962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F55028 | (02) |