Healthcare Provider Details

I. General information

NPI: 1801946652
Provider Name (Legal Business Name): KAREN JANE HOFFMEISTER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HITCHCOCK WAY
MANCHESTER NH
03104
US

IV. Provider business mailing address

252 DOGFORD RD
ETNA NH
03750-4308
US

V. Phone/Fax

Practice location:
  • Phone: 603-629-1827
  • Fax:
Mailing address:
  • Phone: 603-643-9213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOS005755L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number57642
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberLT2519
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: