Organization Name: | DANIEL BRANDWEIN DPM AND SEAN KAUFMAN DPM INC |
NPI Number: | 1023177532 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAN L KAUFMAN (OWNER) |
Mailing Address: | 528 Boulevard Kenilworth |
State: | NJ US |
Postal Code: | 070331657 |
Phone Number: | 9082766624 |
Fax Number: | 9087090163 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 25MD00261900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |