Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MB70733 | NJ |
NPI | 1164585659 |
---|---|
Provider Name | Stacy Kaplan |
First Address | Princeton, NJ 08540-2757 |
Second Address | Princeton, NJ 08540-2757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 08/07/2007 |