Provider Demographics
NPI:1336427020
Name:CAUFIELD, JEFFREY HALE
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HALE
Last Name:CAUFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34520 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:MORELAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1974
Mailing Address - Country:US
Mailing Address - Phone:440-247-5056
Mailing Address - Fax:
Practice Address - Street 1:34520 JACKSON RD
Practice Address - Street 2:
Practice Address - City:MORELAND HILLS
Practice Address - State:OH
Practice Address - Zip Code:44022-1974
Practice Address - Country:US
Practice Address - Phone:440-247-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35042164207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine