Provider Demographics
NPI:1154600450
Name:KAUFFMAN, FREDERIC HERSHEY (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:HERSHEY
Last Name:KAUFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1260
Mailing Address - Country:US
Mailing Address - Phone:610-527-1823
Mailing Address - Fax:
Practice Address - Street 1:358 STRATHMORE DR
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1260
Practice Address - Country:US
Practice Address - Phone:610-527-1823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029006E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine