Healthcare Provider Details

I. General information

NPI: 1356509269
Provider Name (Legal Business Name): LAURA A. KAPLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 MAIN ST S
SOUTHBURY CT
06488-4240
US

IV. Provider business mailing address

385 MAIN ST S
SOUTHBURY CT
06488-4240
US

V. Phone/Fax

Practice location:
  • Phone: 203-264-7999
  • Fax:
Mailing address:
  • Phone: 203-267-5114
  • Fax: 203-264-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number51189
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: