Healthcare Provider Details

I. General information

NPI: 1346201944
Provider Name (Legal Business Name): PERRY KAPLAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 WHITE HORSE PIKE
OAKLYN NJ
08107-1220
US

IV. Provider business mailing address

PO BOX 99
OAKLYN NJ
08107-0099
US

V. Phone/Fax

Practice location:
  • Phone: 856-854-2666
  • Fax: 856-854-8443
Mailing address:
  • Phone: 856-854-2666
  • Fax: 856-854-8443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB01932700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: