Healthcare Provider Details

I. General information

NPI: 1194782078
Provider Name (Legal Business Name): DAVID EDWARD HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 NORTHGATE DR SUITE 207
BETHLEHEM PA
18017-9411
US

IV. Provider business mailing address

3316 MORAVIAN CT
BETHLEHEM PA
18020-2056
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-1323
  • Fax: 610-694-8711
Mailing address:
  • Phone: 610-691-3845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD035194E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: