Healthcare Provider Details

I. General information

NPI: 1932111937
Provider Name (Legal Business Name): WILLIAM HOFFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 05/24/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 PELLIS RD SUITE 200
GREENSBURG PA
15601-4593
US

IV. Provider business mailing address

514 PELLIS RD SUITE 200
GREENSBURG PA
15601-4593
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-8004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD008756E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: