Healthcare Provider Details

I. General information

NPI: 1245480607
Provider Name (Legal Business Name): JEAN H. HOFFMAN-CENSITS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEAN HOFFMAN

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 08/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST RM 1M40
BALTIMORE MD
21287
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 443-287-5654
  • Fax: 410-614-8397
Mailing address:
  • Phone: 410-933-6423
  • Fax: 410-933-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD427977
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD84906
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: