Provider Demographics
NPI:1235238387
Name:KAUFMAN, AARON BERND (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:BERND
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5310 HOMESTEAD RD NE
Mailing Address - Street 2:BLDG 400
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1437
Mailing Address - Country:US
Mailing Address - Phone:505-256-3648
Mailing Address - Fax:505-256-9778
Practice Address - Street 1:5310 HOMESTEAD RD NE
Practice Address - Street 2:BLDG 400
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1437
Practice Address - Country:US
Practice Address - Phone:505-256-3648
Practice Address - Fax:505-256-9778
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMA82986208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43002Medicare UPIN