Healthcare Provider Details

I. General information

NPI: 1689617995
Provider Name (Legal Business Name): REBECCAH A HOFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 INFINITY DRIVE STE 100
MONROEVILLE PA
15146
US

IV. Provider business mailing address

3824 NORTHERN PIKE SUITE 200
MONROEVILLE PA
15146-2141
US

V. Phone/Fax

Practice location:
  • Phone: 724-733-5151
  • Fax: 724-327-7221
Mailing address:
  • Phone: 412-457-0060
  • Fax: 412-457-0092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD072615L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: