Basic Information
Provider Information
NPI: 1215925052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLAN
FirstName: MARK
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2501 OREGON PIKE
Address2: SUITE 101
City: LANCASTER
State: PA
PostalCode: 176014890
CountryCode: US
TelephoneNumber: 7172933223
FaxNumber: 7173902455
Practice Location
Address1: 1 MEDICAL CENTER BLVD
Address2:  
City: UPLAND
State: PA
PostalCode: 190133902
CountryCode: US
TelephoneNumber: 6104472282
FaxNumber: 6104472254
Other Information
ProviderEnumerationDate: 10/06/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XMD052168LPAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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