Healthcare Provider Details

I. General information

NPI: 1306043484
Provider Name (Legal Business Name): CURT HOFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US EMBASSY AMMAN
APO AE
09892
JO

IV. Provider business mailing address

MEDICAL SERVICES SA-1 COLUMBIA PLZ 2401 E ST NW
WASHINGTON DC
20522-0001
US

V. Phone/Fax

Practice location:
  • Phone: 96265906502
  • Fax:
Mailing address:
  • Phone: 202-663-1662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD7112
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: