Healthcare Provider Details

I. General information

NPI: 1407033624
Provider Name (Legal Business Name): WARREN E. KAPLAN, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 SOUTH AVE
FANWOOD NJ
07023-1373
US

IV. Provider business mailing address

346 SOUTH AVE
FANWOOD NJ
07023-1373
US

V. Phone/Fax

Practice location:
  • Phone: 908-889-1660
  • Fax: 908-889-5257
Mailing address:
  • Phone: 908-889-1660
  • Fax: 908-889-5257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD001121
License Number StateNJ

VIII. Authorized Official

Name: DR. WARREN E KAPLAN
Title or Position: PODIATRIST
Credential: DPM
Phone: 908-889-1660