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Individual

DR. JODI D KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
147 E 3RD ST, SUITE ONE, MOORESTOWN, NJ 08057-2924
(856) 234-7754
(856) 234-2290
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA56789
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000619079
IND BC PPO
NJ
01
0448369000
AMERIHEALTH/KHPE/IND BCBS
NJ
01
0500085001
AMERIHEALTH KHPE IND BC
NJ
01
1039728
HORIZON NJ HEALTH
NJ
01
110046661
RAILROAD MEDICARE
NJ
01
3126555
CIGNA
NJ
01
4662898
AETNA
NJ
01
5178401
UNISYS
NJ
05
5178401
NJ
01
OK2157
PHS
NJ
01
P395156
OXFORD
NJ
Enumeration date
01/30/2006
Last updated
01/18/2022
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