Healthcare Provider Details

I. General information

NPI: 1699187575
Provider Name (Legal Business Name): RACHEL HOFFMANN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 SUMMIT AVE STE 2D
PROVIDENCE RI
02906-2853
US

IV. Provider business mailing address

110 ELM ST FL 2
PROVIDENCE RI
02903-4626
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-7959
  • Fax: 401-808-6470
Mailing address:
  • Phone: 401-443-5122
  • Fax: 401-537-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number274944
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD19816
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: