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Individual

DR. JILL RAE KAUFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
112 NORTH SEVENTH STREET, CHAMBERSBURG, PA 17201
(717) 267-3000
(717) 217-4217
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD433468
PA
207L00000X
Anesthesiology Physician
ME80257
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD433468
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050088870
RAILROAD MEDICARE
FL
01
050514
MEDICARE GROUP #
PA
05
102091286 0001
PA
01
120420418
DEPT OF LABOR
PA
01
1569287
GATEWAY
PA
01
1835259
AETNA HMO
PA
01
2183091
MAMSI
PA
01
240951
UNISON
PA
01
25-1716306
FIRST HEALTH
PA
01
50077192
CAPITAL BLUECROSS
PA
01
58773
BLUE CROSS BLUE SHIELD
FL
01
7996547
AETNA NON-HMO
PA
01
G920-0078/85XWCU
CAREFIRST
PA
01
KA2011652
HIGHMARK BLUE SHIELD
PA
01
MD433468
MEDICAL LICENSE
PA
01
P00458416
RAILROAD MEDICARE
PA
01
PEARL
HEALTH AMERICA
PA
Enumeration date
10/17/2006
Last updated
03/07/2023
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