Healthcare Provider Details

I. General information

NPI: 1912484817
Provider Name (Legal Business Name): KAREN LEE HOFFMAN DS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HENSHAW ST STE F
WOBURN MA
01801-4679
US

IV. Provider business mailing address

29 ELMCREST RD
WAKEFIELD MA
01880-1536
US

V. Phone/Fax

Practice location:
  • Phone: 781-935-5250
  • Fax:
Mailing address:
  • Phone: 781-621-8343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: