Provider Demographics
NPI:1083614325
Name:KAUFMAN, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:M
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:PO BOX 5700
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5700
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-585-5435
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA51132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2154626 02OtherUNITED HEALTH PLAN
MA102715OtherCIGNA
MA3016986Medicaid
MA123188OtherFALLON
MA2329748OtherAETNA
MA710690OtherHARVARD PILGRIM HEALTH PLAN
MA24195OtherHEALTH NEW ENGLAND
MA000000020137OtherBMC
MAJ02290OtherBLUE CROSS & BLUE SHIELD
MA736186-7908OtherCONNECTICARE
MAJ02290OtherBLUE CROSS & BLUE SHIELD
MAJ02290Medicare PIN