Individual
DR. ELLIOT MARTIN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 DUCHESS AVE, NEWPORT, VT 05855-5516
(802) 334-6744
(802) 334-7450
Mailing address
714 BEAR ROCK RD, STEWARTSTOWN, NH 03576-5513
(603) 237-8994
(603) 237-8994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
016683
ME
2084P0800X
Psychiatry Physician
Primary
042-0011414
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001362
—
VT
Enumeration date
05/11/2007
Last updated
06/27/2012
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