Healthcare Provider Details

I. General information

NPI: 1083670798
Provider Name (Legal Business Name): MARC E HOFFMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 FORBES AVE
PITTSBURGH PA
15219-5835
US

IV. Provider business mailing address

1835 FORBES AVE
PITTSBURGH PA
15219-5835
US

V. Phone/Fax

Practice location:
  • Phone: 412-288-0885
  • Fax: 412-281-1926
Mailing address:
  • Phone: 412-288-0885
  • Fax: 412-281-1926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOS003935L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: