Provider Demographics
NPI:1700117975
Name:KAUFMANN, DANIEL ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ELIAS
Last Name:KAUFMANN
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 1:24 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-6122
Mailing Address - Country:US
Mailing Address - Phone:617-947-7303
Mailing Address - Fax:617-726-5411
Practice Address - Street 1:149 13TH ST
Practice Address - Street 2:RAGON INSTITUTE, MGH EAST, ROOM 5239
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-2020
Practice Address - Country:US
Practice Address - Phone:617-726-8630
Practice Address - Fax:617-726-5411
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242561282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital