Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 30946 | MA |
NPI | 1487637880 |
---|---|
Provider Name | Leonard William Kaplan |
First Address | Brookline, MA 02446-5587 |
Second Address | Brookline, MA 02446-5587 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0136271 | (05) | MA |
707068 | TUFTS (01) | MA |
B77065 | (02) | |
KAB32074 | BLUE CROSS (01) | MA |