Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD459462 | PA |
N | 208600000X | Surgeon | MD459462 | PA |
N | 2086S0120X | Pediatric Surgery | TRN24429 | FL |
NPI | 1417361924 |
---|---|
Provider Name | Dr. Jeremy David Kauffman |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 02/07/2020 |