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NPI Code Detail

MEDICARE: DR. STEPHEN RICHARD KAUFMAN M.D.

MEDICARE:  DR. STEPHEN RICHARD KAUFMAN  M.D.
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
1207WX0107XRetina Specialist (Ophthalmology) Physician35.061194OH
2207W00000XOphthalmology PhysicianMD66059LPA
3207W00000XOphthalmology Physician35061194OH

Other Identifiers

General Provider Information

NPI Number : 1568464832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN RICHARD KAUFMAN M.D.
Provider Business Mailing Address
First Line : 4676 DOUGLAS CIR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-3619
Country : US
Telephone Number : 330-494-1116
Fax Number : 330-494-0276
Provider Business Practice Location Address
First Line : 4676 DOUGLAS CIR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-3619
Country : US
Telephone Number : 330-494-1116
Fax Number : 330-494-0276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/24/2021

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Directions to “ DR. STEPHEN RICHARD KAUFMAN M.D.” Practice Location

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