Individual
ELLIS JAY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Mailing address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002050L
PA
Other
Enumeration date
02/20/2007
Last updated
12/19/2013
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