Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 49794 | MA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 49794 | MA |
NPI | 1326049073 |
---|---|
Provider Name | Michael S Kaplan |
First Address | Great Barrington, MA 01230 |
Second Address | Lee, MA 01238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 23/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0168505 | (05) | MA |
049794 | TUFTS (01) | MA |
110005600A | (05) | MA |
B11801 | BCBS (01) | MA |
B72894 | (02) |