MEDICARE: DR. PETER FREDERIC HOFFMAN M.D., PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	0101020580	VA

General Provider Information

NPI Number	:	1144202367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER FREDERIC HOFFMAN M.D., PH.D

Provider Business Mailing Address
First Line	:	34804 WILLIAMS GAP RD
Second Line	:
City	:	ROUND HILL
State	:	VA
Zip	:	20141-2214
Country	:	US
Telephone Number	:	540-554-2335
Fax Number	:	703-771-7471

Provider Business Practice Location Address
First Line	:	34804 WILLIAMS GAP RD
Second Line	:
City	:	ROUND HILL
State	:	VA
Zip	:	20141-2214
Country	:	US
Telephone Number	:	540-554-2335
Fax Number	:	703-771-7471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/08/2007

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