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Individual

MARTIN J KAPLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3439 HOBSON RD, FORT WAYNE, IN 46805-1617
(260) 484-2524
(260) 482-9539
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9965
(260) 458-5664

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01022778
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084163
BCBS PROVIDER NUMBER
IN
05
0356654
OH
01
1000006667
RAILROAD MEDICARE
IN
05
100331570
IN
01
2002462001
CIGNA PROVIDER NUMBER
IN
01
4047086
AETNA PROVIDER NUMBER
IN
Enumeration date
10/20/2005
Last updated
04/11/2011
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