Provider Demographics
NPI:1033427372
Name:KAUFMAN, DANIEL L (LPN)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 W JIMMIE LEEDS RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9438
Mailing Address - Country:US
Mailing Address - Phone:609-404-7300
Mailing Address - Fax:609-404-7301
Practice Address - Street 1:54 W JIMMIE LEEDS RD
Practice Address - Street 2:SUITE 8
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9438
Practice Address - Country:US
Practice Address - Phone:609-404-7300
Practice Address - Fax:609-404-7301
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP0432340164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse