Doctor Name: | STEPHEN C KAUFFMAN |
NPI Number: | 1912900952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101017616 |
Business Practice Address: | 3450 N Beauregard St Ste 1 Alexandria, VA - 223021200 |
Business Phone Number: | 7038207000 |
Business Fax Number: | 7039310059 |
Mailing Address: | 3450 N Beauregard St, Ste 1 ALEXANDRIA |
State: | VA |
Postal Code: | 223021200 |
Phone Number: | 7038207000 |
Fax Number: | 7039310059 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101017616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |