Healthcare Provider Details

I. General information

NPI: 1376541631
Provider Name (Legal Business Name): MARGARET M HOFFMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LYONS ST
DEDHAM MA
02026-5599
US

IV. Provider business mailing address

PO BOX 9120
DEDHAM MA
02027-9120
US

V. Phone/Fax

Practice location:
  • Phone: 781-329-1400
  • Fax: 781-278-5664
Mailing address:
  • Phone: 781-329-1400
  • Fax: 781-278-5667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number118903
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: