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Organization
SAMUEL W. KAUFMAN, M.D., INC.
Active
Organization
SAMUEL W. KAUFMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN VRIEZE (BILLER)
(909) 946-2801
Entity
Organization
Contact information
Practice address
4515 ORCHARD ST, MONTCLAIR, CA 91763-3102
(909) 946-2801
(909) 946-3247
Mailing address
PO BOX 996, UPLAND, CA 91785-0996
(909) 946-2801
(909) 946-3247
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A28426
CA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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