Individual
JACOB A. KAPPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHESIST
Contact information
Practice address
333 CEDAR ST # ST3, NEW HAVEN, CT 06510-3206
(860) 972-2797
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089214
CT
367500000X
Certified Registered Nurse Anesthetist
089214
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2353222
MA
Other
Enumeration date
09/14/2015
Last updated
09/07/2021
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