Healthcare Provider Details

I. General information

NPI: 1235357310
Provider Name (Legal Business Name): DAVID S. HOFFMAN, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 SPRINGFIELD AVE
SUMMIT NJ
07901-5110
US

IV. Provider business mailing address

803 SPRINGFIELD AVE
SUMMIT NJ
07901-1132
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-9500
  • Fax: 908-273-4626
Mailing address:
  • Phone: 908-273-9500
  • Fax: 908-273-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMA44487
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID SANDOR HOFFMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 908-273-9500