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NPI Code Detail

MEDICARE: DR. MARY T HOFMANN MD

MEDICARE: DR. MARY T HOFMANN MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD041915-LPA

General Provider Information

NPI Number : 1598761835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY T HOFMANN MD
Provider Business Mailing Address
First Line : 1245 HIGHLAND AVE
Second Line : STE 302
City : ABINGTON
State : PA
Zip : 19001-3724
Country : US
Telephone Number : 215-517-8850
Fax Number :
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-823-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/13/2025

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