Individual
JEREMY D. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 HAWLEY LN, UROLOGICAL ASSOCIATES OF BPT P.C., TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Mailing address
160 HAWLEY LN, SUITE 002, TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46705
CT
2088P0231X
Pediatric Urology Physician
46705
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001917
—
CT
Enumeration date
06/14/2007
Last updated
01/14/2019
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