MEDICARE: BENJAMIN HOFFMAN M.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	207R00000X	Internal Medicine Physician	75209	MA

General Provider Information

NPI Number	:	1609834530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN HOFFMAN M.D.

Provider Business Mailing Address
First Line	:	4 LIBERTY LN W
Second Line	:
City	:	HAMPTON
State	:	NH
Zip	:	03842-1704
Country	:	US
Telephone Number	:	603-929-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 LIBERTY LN W
Second Line	:
City	:	HAMPTON
State	:	NH
Zip	:	03842-1704
Country	:	US
Telephone Number	:	603-929-3258
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

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