Provider Demographics
NPI:1346460763
Name:KAUFMAN, JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 HAZENS NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05471-3044
Mailing Address - Country:US
Mailing Address - Phone:802-863-6763
Mailing Address - Fax:
Practice Address - Street 1:2161 HAZENS NOTCH RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY CENTER
Practice Address - State:VT
Practice Address - Zip Code:05471-3044
Practice Address - Country:US
Practice Address - Phone:802-863-6763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06197000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine