Susan M Kaufman Do | |
300 York St Suite B Corry PA 16407-1420 | |
(814) 664-3979 | |
(814) 663-4879 |
Full Name | Susan M Kaufman Do |
---|---|
Speciality | Family Medicine |
Location | 300 York St, Corry, Pennsylvania |
Authorized Official Name and Position | Bruce Kaufman (OFFICE MANAGER) |
Authorized Official Contact | 8146643979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan M Kaufman Do 300 York St Suite B Corry PA 16407-1420 Ph: (814) 664-3979 | Susan M Kaufman Do 300 York St Suite B Corry PA 16407-1420 Ph: (814) 664-3979 |
NPI Number | 1992788012 |
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Provider Enumeration Date | 11/22/2005 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992788012 | NPI | - | NPPES |
1053316489 | Other | PA | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS006866L (Pennsylvania) | Primary |
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