Provider Demographics
NPI:1053381962
Name:KAPLAN, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:KAPLAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:INNOVATIVE PHYSICIAN SERVICES LLC
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-0391
Mailing Address - Country:US
Mailing Address - Phone:508-595-0531
Mailing Address - Fax:508-829-5367
Practice Address - Street 1:305 BICENTENNIAL HWY
Practice Address - Street 2:INNOVATIVE PHYSICIAN SERVICES LLC
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1962
Practice Address - Country:US
Practice Address - Phone:413-733-4101
Practice Address - Fax:413-796-6821
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA77877208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F55028Medicare UPIN