Healthcare Provider Details

I. General information

NPI: 1093991994
Provider Name (Legal Business Name): SYLVIA KASZIAN HOFMANN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLBY AVE SUITE 7
STRATFORD NJ
08084-1000
US

IV. Provider business mailing address

1 COLBY AVE SUITE 7
STRATFORD NJ
08084-1000
US

V. Phone/Fax

Practice location:
  • Phone: 856-541-1700
  • Fax: 856-346-3627
Mailing address:
  • Phone: 856-541-1700
  • Fax: 856-346-3627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: