Healthcare Provider Details

I. General information

NPI: 1841597051
Provider Name (Legal Business Name): STEPHEN LEV HOFFMAN M.D., D.T.M.H., CAPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 MEDICAL CENTER DR SUITE A209
ROCKVILLE MD
20850-6386
US

IV. Provider business mailing address

9800 MEDICAL CENTER DR SUITE A209
ROCKVILLE MD
20850-6386
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-3222
  • Fax:
Mailing address:
  • Phone: 301-770-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberD0059538
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: