Individual
ELLEN D KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 4640, PMG CEDAR ENDOCRINOLOGY, ALBUQUERQUE, NM 87106-4922
(505) 563-6530
(505) 563-6325
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
74186
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31369
—
NM
Enumeration date
10/03/2006
Last updated
12/04/2009
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