MEDICARE: NEAL KAUFMAN

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	237700000X	Hearing Instrument Specialist	25MG00057700	NJ
2	237700000X	Hearing Instrument Specialist	0865	NM

General Provider Information

NPI Number	:	1881900785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL KAUFMAN

Provider Business Mailing Address
First Line	:	215 SHUMAN BLVD
Second Line	:	STE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8458
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	978-313-6824

Provider Business Practice Location Address
First Line	:	2240 E LOHMAN AVE STE 2
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-8418
Country	:	US
Telephone Number	:	575-523-0267
Fax Number	:	575-523-6408

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	02/11/2020

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Directions to “ NEAL KAUFMAN ” Practice Location

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