Basic Information
| Provider Information | |||||||||
| NPI: | 1063580645 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUFMAN | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 LA VIS | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875059002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059881987 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1620 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875054743 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059824848 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 71-46 | NM | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.