Provider Demographics
NPI:1003202748
Name:KAUFMAN, BRIDGET (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N FRANKLIN TPKE STE 318
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1177
Mailing Address - Country:US
Mailing Address - Phone:201-500-7525
Mailing Address - Fax:
Practice Address - Street 1:500 N FRANKLIN TPKE STE 318
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1177
Practice Address - Country:US
Practice Address - Phone:201-500-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11016500207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology