Individual
DR. CLARK ROBERT KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 MARIETTA AVE, LANCASTER, PA 17601-1942
(717) 393-1365
(717) 393-8540
Mailing address
2445 MARIETTA AVE, LANCASTER, PA 17601-1942
(717) 393-1365
(717) 393-8540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036013E
PA
207K00000X
Allergy & Immunology Physician
MD036013E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001163584
—
PA
01
—
0011635840001
ACCESS
PA
01
—
0099126000
AMERIHEALTH HMO
—
01
—
01799101
CAPITAL BLUE CROSS
—
01
—
030003465
RAILROAD MEDICARE
—
01
—
0412114
KEYSTONE HEALTH PLAN CENT
—
01
—
0421114
HIGHMARK BLUE SHIELD
PA
01
—
0421114
BC/BS PERSONAL CHOICE
—
01
—
0466380
AETNA
—
01
—
117425
UNISON
PA
01
—
117425
THREE RIVERS (MEDPLUS)
—
01
—
1326036468
NPI
PA
01
—
1519641
GATEWAY
—
01
—
248732
MAMSI
—
01
—
30108A
AMERIHEALTH MERCY
—
01
—
421114GLF
MEDICARE, PIN UNSPECIFIED
PA
01
—
7014809
GEISINGER
—
01
—
7125391002
CIGNA
—
Enumeration date
10/12/2005
Last updated
10/07/2014
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