MEDICARE: C L KAUFFMAN MD PLLC

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	207N00000X	Dermatology Physician
2	207ZD0900X	Dermatopathology (Pathology) Physician

General Provider Information

NPI Number	:	1982853826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C L KAUFFMAN MD PLLC

Provider Business Mailing Address
First Line	:	3301 NEW MEXICO AVE NW STE 210
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-363-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 210
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-363-9600
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	CATHARINE LISA KAUFFMAN
Credential	:
Telephone Number	:	202-363-9600

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	11/18/2020

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