Healthcare Provider Details

I. General information

NPI: 1033407911
Provider Name (Legal Business Name): STEVEN HOFFMAN L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4475 ROUTE 27
KINGSTON NJ
08528
US

IV. Provider business mailing address

139 JEFFERSON RD
PRINCETON NJ
08540-3373
US

V. Phone/Fax

Practice location:
  • Phone: 609-924-9500
  • Fax:
Mailing address:
  • Phone: 609-924-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00081100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: