Healthcare Provider Details

I. General information

NPI: 1972084994
Provider Name (Legal Business Name): JOSEPH EMIDDIO HOFFMAN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 US HIGHWAY 22
BRIDGEWATER NJ
08807-2982
US

IV. Provider business mailing address

732 MILL LN
HILLSBOROUGH NJ
08844-3318
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-4109
  • Fax:
Mailing address:
  • Phone: 908-698-9081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number40QA01809500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: