Individual
MR. NICHOLAS KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2597 SCHOENERSVILLE RD # 100, BETHLEHEM, PA 18017-7325
(610) 402-8900
(484) 884-5594
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
MA061786
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061786
STATE LICENSE
PA
Enumeration date
08/23/2018
Last updated
12/15/2021
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