Provider Demographics
NPI:1982853826
Name:C L KAUFFMAN MD PLLC
Entity Type:Organization
Organization Name:C L KAUFFMAN MD PLLC
Other - Org Name:GEORGETOWN DERMPATH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:CATHARINE
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-363-9600
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 210
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3627
Mailing Address - Country:US
Mailing Address - Phone:202-363-9600
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 210
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3627
Practice Address - Country:US
Practice Address - Phone:202-363-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathologyGroup - Single Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty