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Individual

DR. JEROLD ZELIG KAPLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 704-4064
(707) 962-0801
Mailing address
2450 ASHBY AVE, BERKELEY, CA 94705
(510) 704-4064
(707) 962-0801

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C37413
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C374130
CA
Enumeration date
07/27/2006
Last updated
07/09/2007
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