Healthcare Provider Details

I. General information

NPI: 1962089565
Provider Name (Legal Business Name): MELISSA LOUISA HOFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MILFORD ST STE 301
SALISBURY MD
21804-6962
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-4431
  • Fax: 410-543-8259
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0103406
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: