Individual Provider

-- STEPHEN C KAUFFMAN M.D.

NPI Number1912900952

Practice Location

3450 N BEAUREGARD ST

STE 1

ALEXANDRIA, VA, 22302-1200

Phone

(703) 820-7000

Fax

(703) 931-0059

Mailing Address

3450 N BEAUREGARD ST

STE 1

ALEXANDRIA, VA, 223021200

Phone

(703) 820-7000

Fax

(703) 931-0059

Other Identifiers

0003

Other (non-Medicare)

State: VAIssuer: B/C B/S inidvidual #

035936

Other (non-Medicare)

State: VAIssuer: Anthem

2156

Other (non-Medicare)

State: VAIssuer: Care First b/c b/s Group

246821

Other (non-Medicare)

State: VAIssuer: Mamsi

7471203

Other (non-Medicare)

State: VAIssuer: Aetna

License Information

License Number

0101017616

State: VA

Important Dates

Enumeration Date

May 23, 2005

Last Updated

July 8, 2007