Healthcare Provider Details

I. General information

NPI: 1043469927
Provider Name (Legal Business Name): THOMAS HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 LOCUST HILL RD
BETHESDA MD
20814-3958
US

IV. Provider business mailing address

9419 LOCUST HILL RD
BETHESDA MD
20814-3958
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-8630
  • Fax:
Mailing address:
  • Phone: 301-493-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberD0034268
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: