Healthcare Provider Details

I. General information

NPI: 1851472617
Provider Name (Legal Business Name): URSULA M HOFFMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6099A MAIN ST
CENTER VALLEY PA
18034-0158
US

IV. Provider business mailing address

PO BOX 158
CENTER VALLEY PA
18034-0158
US

V. Phone/Fax

Practice location:
  • Phone: 610-282-4030
  • Fax: 610-282-4492
Mailing address:
  • Phone: 610-282-4030
  • Fax: 610-282-4492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD022232E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: