MEDICARE: PAUL L KAUFMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	19748	WI

General Provider Information

NPI Number	:	1669448197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL L KAUFMAN MD

Provider Business Mailing Address
First Line	:	3006 HARVARD DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-2107
Country	:	US
Telephone Number	:	608-238-0590
Fax Number	:

Provider Business Practice Location Address
First Line	:	3006 HARVARD DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-2107
Country	:	US
Telephone Number	:	608-238-0590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	01/24/2017

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