MEDICARE: JEFFREY M KUFEL PA

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	363A00000X	Physician Assistant	C0004219	MD

General Provider Information

NPI Number	:	1437469723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY M KUFEL PA

Provider Business Mailing Address
First Line	:	6509 EARLY LILY ROW
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6057
Country	:	US
Telephone Number	:	443-928-9420
Fax Number	:	410-701-4481

Provider Business Practice Location Address
First Line	:	8455 COLESVILLE RD
Second Line	:	SUITE 200
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3315
Country	:	US
Telephone Number	:	301-588-0505
Fax Number	:	301-588-0506

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

Provider Enumeration Date	:	10/20/2010
Last Update Date	:	04/27/2018

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