Individual
STEPHEN C KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 N BEAUREGARD ST, STE 1, ALEXANDRIA, VA 22302-1200
(703) 820-7000
(703) 931-0059
Mailing address
3450 N BEAUREGARD ST, STE 1, ALEXANDRIA, VA 22302-1200
(703) 820-7000
(703) 931-0059
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101017616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
B/C B/S INIDVIDUAL #
VA
01
—
035936
ANTHEM
VA
01
—
2156
CARE FIRST B/C B/S GROUP
VA
01
—
246821
MAMSI
VA
01
—
7471203
AETNA
VA
Enumeration date
05/23/2005
Last updated
07/08/2007
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