Healthcare Provider Details

I. General information

NPI: 1538176003
Provider Name (Legal Business Name): RON HOFFMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 HIGHLAND AVE STE 306
ABINGTON PA
19001-3724
US

IV. Provider business mailing address

2500 MARYLAND RD STE 400
WILLOW GROVE PA
19090-1225
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-9495
  • Fax: 215-884-8875
Mailing address:
  • Phone: 215-481-4143
  • Fax: 215-481-6790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD041780L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: