MEDICARE: DR. MARK S KAPLAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	79806	MA
2	208100000X	Physical Medicine & Rehabilitation Physician	79806	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720054877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK S KAPLAN M.D.

Provider Business Mailing Address
First Line	:	21 LAFAYETTE CIR
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02482-4419
Country	:	US
Telephone Number	:	781-237-0855
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 FRANKLIN ST STE 205
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6265
Country	:	US
Telephone Number	:	617-513-3960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	09/21/2020

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