Provider Demographics
NPI:1033118328
Name:KAUFFMAN, CATHARINE LISA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:LISA
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3301 NEW MEXICO AVE NW
Mailing Address - Street 2:SUITE #210
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3622
Mailing Address - Country:US
Mailing Address - Phone:202-363-9600
Mailing Address - Fax:202-363-9601
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:SUITE #210
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-363-9600
Practice Address - Fax:202-363-9601
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC18418207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC000S02G65Medicare PIN
F48547Medicare UPIN