Provider Demographics
NPI:1821032160
Name:KAUFMAN, RIMMA G
Entity Type:Individual
Prefix:DR
First Name:RIMMA
Middle Name:G
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574B HARTFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-4048
Mailing Address - Country:US
Mailing Address - Phone:508-839-1221
Mailing Address - Fax:
Practice Address - Street 1:574B HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4048
Practice Address - Country:US
Practice Address - Phone:508-839-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26016183500000X
MAPH26016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist