Healthcare Provider Details

I. General information

NPI: 1245591098
Provider Name (Legal Business Name): AARON R. HOFFMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MERRIMAC ST SUITE 1000
BOSTON MA
02114-4724
US

IV. Provider business mailing address

101 MERRIMAC ST SUITE 1000
BOSTON MA
02114-4724
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-1100
  • Fax: 617-643-8898
Mailing address:
  • Phone: 617-724-1100
  • Fax: 617-643-8898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number263909
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2506
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: