Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 017295 | CT |
Y | 207R00000X | Internist | 17295 | CT |
Y | 111NI0900X | Internist | 17295 | CT |
NPI | 1215991575 |
---|---|
Provider Name | Dr. Richard Enoch Kaufman |
First Address | Branford, CT 06405-3730 |
Second Address | Branford, CT 06405-3730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 03/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001172956 | (05) | CT |
010017295CT01 | ANTHEM BCBS (01) | |
0Q1750 | HEALTHNET (01) | |
1051462 | AETNA-PCP (01) | |
110211648 | RAILROAD MEDICARE (01) | |
2330377 | AETNA-SPECIALIST (01) | |
731524 | CONNECTICARE (01) | |
OXFORD | P382354 (01) |