Healthcare Provider Details

I. General information

NPI: 1134645310
Provider Name (Legal Business Name): RYAN PHILIP HOFFMAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6B MINNEAKONING RD
FLEMINGTON NJ
08822-5760
US

IV. Provider business mailing address

6B MINNEAKONING RD
FLEMINGTON NJ
08822-5760
US

V. Phone/Fax

Practice location:
  • Phone: 908-824-7144
  • Fax:
Mailing address:
  • Phone: 908-824-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00675700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number27OA00675700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: