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NPI Code Detail

MEDICARE: MR. SAM KAPLAN

MEDICARE:  MR. SAM  KAPLAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist111988PA

General Provider Information

NPI Number : 1689989691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAM KAPLAN
Provider Business Mailing Address
First Line : 3810 MORRELL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1915
Country : US
Telephone Number : 215-632-6698
Fax Number : 215-281-3717
Provider Business Practice Location Address
First Line : 3810 MORRELL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1915
Country : US
Telephone Number : 215-632-6698
Fax Number : 215-281-3717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2010
Last Update Date : 08/13/2010

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Directions to “ MR. SAM KAPLAN ” Practice Location

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