Healthcare Provider Details
I. General information
NPI: 1982602249
Provider Name (Legal Business Name): JAMES KIRK HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/11/2005
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2775 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7307
US
IV. Provider business mailing address
2775 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7307
US
V. Phone/Fax
- Phone: 610-861-8080
- Fax: 610-861-2989
- Phone: 610-861-8080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MD058573L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: