Healthcare Provider Details

I. General information

NPI: 1588856892
Provider Name (Legal Business Name): WENDY HOFFNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WENDY ZIMMERMAN M.D.

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-3730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA97350
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0073047
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: