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Individual

STUART KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
16749 STATE ROUTE 706 STE 4, MONTROSE, PA 18801-6502
(570) 278-2279
(570) 278-4058
Mailing address
200 MIFFLIN AVENUE, SCRANTON, PA 18503
(570) 342-3145
(570) 344-1309

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000837
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001785548
PA
01
072374
FIRST PRIORITY HEALTH
01
20529
GEISINGER HEALTH PLAN
01
410041715
RAIL ROAD MEDICARE
01
506554
AETNA
01
KA287932
HIGH MARK BLUE SHIELD
Enumeration date
08/13/2006
Last updated
10/08/2019
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