Provider Demographics
NPI:1801240015
Name:KAUFMAN, KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:
Last Name:KAUFMAN
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 1:126 E LINCOLN AVE
Mailing Address - Street 2:RY34-A248
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4607
Mailing Address - Country:US
Mailing Address - Phone:732-594-5821
Mailing Address - Fax:
Practice Address - Street 1:126 E LINCOLN AVE
Practice Address - Street 2:RY34-A248
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-4607
Practice Address - Country:US
Practice Address - Phone:732-594-5821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57521207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism