Healthcare Provider Details
I. General information
NPI: 1760446041
Provider Name (Legal Business Name): TERESA HOFFMAN M.D. AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3601 ODONNELL ST
BALTIMORE MD
21224-5563
US
IV. Provider business mailing address
301 SAINT PAUL PL MEDICAL STAFF OFFICE
BALTIMORE MD
21202-2102
US
V. Phone/Fax
- Phone: 410-633-6300
- Fax: 410-633-6736
- Phone: 410-659-2963
- Fax: 410-332-9789
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TERESA
HOFFMAN
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 410-633-6747