Healthcare Provider Details

I. General information

NPI: 1578597365
Provider Name (Legal Business Name): JUDITH LOUISE HOFFMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 BILTMORE AVE
ASHEVILLE NC
28801-4157
US

IV. Provider business mailing address

38 WESTCHESTER DR
ASHEVILLE NC
28803-2255
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-8748
  • Fax: 828-252-9512
Mailing address:
  • Phone: 828-768-8142
  • Fax: 828-258-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberNC8942913
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberNC8942913
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: