Kaufman, Gregory Mark
Kaufman, Gregory Mark is an individual health care provider with primary practice located at 78 College Ave , Somerville MA 02144-1916. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kaufman, Gregory Mark can be contacted via phone (617) 623-3278.Contact Information
Primary practice address
78 College Ave
Somerville MA 02144-1916
Phone: (617) 623-3278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 116040 | Massachusetts |
Profile Details
| NPI number | 1295014819 |
|---|---|
| LBN Legal business name | Kaufman, Gregory Mark |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2011 |
| Last updated | Aug 15th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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