Healthcare Provider Details

I. General information

NPI: 1720054877
Provider Name (Legal Business Name): MARK S KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 FRANKLIN ST STE 205
FRAMINGHAM MA
01702-6265
US

IV. Provider business mailing address

21 LAFAYETTE CIR
WELLESLEY MA
02482-4419
US

V. Phone/Fax

Practice location:
  • Phone: 617-513-3960
  • Fax:
Mailing address:
  • Phone: 781-237-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number79806
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number79806
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: