Individual
DR. JOHANNA R. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8601
(908) 277-8706
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11189400
NJ
208000000X
Pediatrics Physician
D0087140
MD
Other
Enumeration date
04/13/2016
Last updated
10/01/2021
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