Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 199620 | NY |
N | 207X00000X | Orthopaedic Surgeon | G85116 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 199620 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G85116 | CA |
NPI | 1003922626 |
---|---|
Provider Name | Jeffrey I Kauffman |
First Address | Andover, NH 03216-0032 |
Second Address | Littleton, NH 03561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 13/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02090146 | (05) | NY |
H03617 | (02) | CA |