Healthcare Provider Details

I. General information

NPI: 1598365785
Provider Name (Legal Business Name): MARK S KAPLAN, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 07/28/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 FRANKLIN ST STE 205
FRAMINGHAM MA
01702-6265
US

IV. Provider business mailing address

475 FRANKLIN ST STE 205
FRAMINGHAM MA
01702-6265
US

V. Phone/Fax

Practice location:
  • Phone: 781-237-0855
  • Fax:
Mailing address:
  • Phone: 508-834-7725
  • Fax: 508-834-7150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK KAPLAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 508-834-7725