Healthcare Provider Details

I. General information

NPI: 1629236849
Provider Name (Legal Business Name): STEPHEN KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 COURT ST
PLYMOUTH MA
02360-4397
US

IV. Provider business mailing address

1284 BEACON ST APT #314
BROOKLINE MA
02446-3788
US

V. Phone/Fax

Practice location:
  • Phone: 508-746-7543
  • Fax: 508-746-1334
Mailing address:
  • Phone: 617-512-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number232071
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: