Healthcare Provider Details

I. General information

NPI: 1013066604
Provider Name (Legal Business Name): EUGENE J HOFFMAN III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 HOUMA BLVD SUITE 140
METAIRIE LA
70006-2933
US

IV. Provider business mailing address

4928 CRAIG AVE
METAIRIE LA
70003-7611
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-7721
  • Fax: 504-454-5004
Mailing address:
  • Phone: 504-455-2438
  • Fax: 504-454-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number012722
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: