Individual
JULIE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 MILK ST, INTERNAL MEDICINE, BOSTON, MA 02109-4806
(617) 654-7220
(617) 654-7166
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075279
TUFTS
MA
05
—
3187993
—
MA
01
—
J14399
BLUE CROSS
MA
01
—
PV443
HARVARD PILGRIM
MA
Enumeration date
03/14/2006
Last updated
06/01/2011
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