Individual
KENNETH R KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
671 HOES LN, PISCATAWAY, NJ 08854-5627
(800) 969-5300
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06308700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6821600
—
NJ
Enumeration date
11/02/2006
Last updated
12/07/2010
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