Healthcare Provider Details

I. General information

NPI: 1346208857
Provider Name (Legal Business Name): DAVID JOSEPH HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4250
US

IV. Provider business mailing address

559 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4250
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-7890
  • Fax: 215-456-6769
Mailing address:
  • Phone: 215-456-7890
  • Fax: 215-456-6769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD042308L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: