Healthcare Provider Details

I. General information

NPI: 1346843471
Provider Name (Legal Business Name): KATHLEEN MAIE HOFFMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6056 HARDING HWY
MAYS LANDING NJ
08330-1548
US

IV. Provider business mailing address

229 W EDGEWOOD AVE
LINWOOD NJ
08221-1705
US

V. Phone/Fax

Practice location:
  • Phone: 609-625-5553
  • Fax:
Mailing address:
  • Phone: 609-226-0851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03359600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: