Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | D0019071 | MD |
NPI | 1003885856 |
---|---|
Provider Name | Dr. Robert Bernard Kaufman |
First Address | Potomac, MD 20854-2171 |
Second Address | Damascus, MD 20872-1867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
251491500 | (05) | MD |
C61998 | (02) | MD |