Healthcare Provider Details

I. General information

NPI: 1205061355
Provider Name (Legal Business Name): ANDREW KAPLAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRONT ST STE 100
EXETER NH
03833-2727
US

IV. Provider business mailing address

1145 SAGAMORE AVE
PORTSMOUTH NH
03801-5503
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-0005
  • Fax: 603-883-0007
Mailing address:
  • Phone: 403-431-6703
  • Fax: 603-430-3753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number16479
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: