Healthcare Provider Details

I. General information

NPI: 1720173347
Provider Name (Legal Business Name): TAMAR HOFFMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 S KING ST #908
HONOLULU HI
96814-1922
US

IV. Provider business mailing address

PO BOX 592
KANEOHE HI
96744-0592
US

V. Phone/Fax

Practice location:
  • Phone: 808-597-8808
  • Fax: 808-597-1201
Mailing address:
  • Phone: 808-597-8808
  • Fax: 808-597-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD 6321
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: