Healthcare Provider Details

I. General information

NPI: 1952454795
Provider Name (Legal Business Name): RAYMOND STEPHEN HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 12/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S CHARLES ST #403
BALTIMORE MD
21201-3220
US

IV. Provider business mailing address

20 S CHARLES ST #403
BALTIMORE MD
21201-3220
US

V. Phone/Fax

Practice location:
  • Phone: 410-528-1661
  • Fax:
Mailing address:
  • Phone: 410-528-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0037704
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: