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General NPI Number Information
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NPI Number | 1558328419
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Entity Type | Individual
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Provider Name | RANDAL B KAUFMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 150 EMORY ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-2439
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Country | US
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Telephone | 508-699-3079
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Fax | 508-809-9552
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Provider Business Mailing Address
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Address Line | 10 ORMS ST SUITE 110
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City | PROVIDENCE
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State | RI
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Zip | 02904-2228
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Country | US
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Telephone | 401-453-0666
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Fax | 401-453-9619
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA54411
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License Number State | MA
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