Individual
JERRY MARTIN KAPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2517
(215) 235-8247
Mailing address
2421 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2517
(215) 235-8247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014672E
PA
2080P0208X
Pediatric Infectious Diseases Physician
MD014672E
PA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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