Healthcare Provider Details

I. General information

NPI: 1710063987
Provider Name (Legal Business Name): DAVID A HOFFMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID A HOFFMAN DO

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 BELMONT AVENUE
YOUNGSTOWN OH
44504
US

IV. Provider business mailing address

1220 BELMONT AVENUE
YOUNGSTOWN OH
44504
US

V. Phone/Fax

Practice location:
  • Phone: 330-743-3644
  • Fax: 330-743-2737
Mailing address:
  • Phone: 330-743-3644
  • Fax: 330-743-2737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number34002486
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: