Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD464843 | PA |
N | 208600000X | Surgeon | MD464843 | PA |
Y | 2086S0102X | Surgical Critical Care | MD464843 | PA |
NPI | 1336438431 |
---|---|
Provider Name | Elinore Juliana Kaufman |
First Address | Philadelphia, PA 19104-2640 |
Second Address | Philadelphia, PA 19104-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2011 |
Last Update Date | 14/08/2019 |