Healthcare Provider Details

I. General information

NPI: 1699172007
Provider Name (Legal Business Name): SARAH HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 CENTRAL ST
WALTHAM MA
02453-5465
US

IV. Provider business mailing address

118 CENTRAL ST
WALTHAM MA
02453-5465
US

V. Phone/Fax

Practice location:
  • Phone: 781-891-0555
  • Fax: 781-647-1432
Mailing address:
  • Phone: 781-891-0555
  • Fax: 781-647-1432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: