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Individual

ROBERT LEWIS KAUFMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(301) 662-8119
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8913
(240) 439-8910

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0013971
MD
207R00000X
Internal Medicine Physician
Primary
D13971
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004631100
MD
01
110047910
MEDICARE RAILROAD
MD
01
1205817384
MEDICAID NPI
MD
Enumeration date
11/07/2005
Last updated
07/30/2019
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