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Individual

SCOTT KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
105 MILFORD ST STE 605, SALISBURY, MD 21804-6952
(410) 334-2227
Mailing address
105 MILFORD ST STE 605, SALISBURY, MD 21804-6952
(410) 334-2227

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
02001632A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
H93578
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000496802
BLUE CROSS BLUE SHIELD IN
05
200026070
IN
01
90000561
BLUE SHIELD OF IL
01
P00386217
RAILROAD MEDICARE
Enumeration date
11/21/2005
Last updated
10/11/2022
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