Organization
JOHN P KAUFMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PEARSE KAUFMAN M.D. (PRESIDENT)
(540) 981-9367
Entity
Organization
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, #204, ROANOKE, VA 24014-2465
(540) 981-9367
(540) 981-0031
Mailing address
2001 CRYSTAL SPRING AVE SW, #204, ROANOKE, VA 24014-2465
(540) 981-9367
(540) 981-0031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101020590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004421681
AETNA
VA
01
—
061468
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
05/10/2007
Last updated
02/25/2008
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