Healthcare Provider Details

I. General information

NPI: 1215323993
Provider Name (Legal Business Name): MATTHEW F HOFFMAN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 DEVONWOOD CT
VOORHEES NJ
08043-3445
US

IV. Provider business mailing address

6 DEVONWOOD CT
VOORHEES NJ
08043-3445
US

V. Phone/Fax

Practice location:
  • Phone: 215-630-2268
  • Fax:
Mailing address:
  • Phone: 215-630-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01413900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: