Healthcare Provider Details

I. General information

NPI: 1144534637
Provider Name (Legal Business Name): MARIE R. HOFFMAN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MERRIMACK ST
HAVERHILL MA
01830-6207
US

IV. Provider business mailing address

60 MERRIMACK ST
HAVERHILL MA
01830-6207
US

V. Phone/Fax

Practice location:
  • Phone: 978-373-1126
  • Fax: 978-373-6363
Mailing address:
  • Phone: 978-373-1126
  • Fax: 978-373-6363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: