Individual
MISS COLLEEN DIANA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11890 HEALING WAY, SILVER SPRING, MD 20904-7917
(240) 637-4000
Mailing address
6534 BEECHWOOD DR, COLUMBIA, MD 21046-1049
(301) 915-5883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009152
MD
Other
Enumeration date
08/21/2023
Last updated
10/30/2023
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