MEDICARE: DR. MARK ROBERT HOFMEYER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	MD039451	DC

General Provider Information

NPI Number	:	1194926071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ROBERT HOFMEYER M.D.

Provider Business Mailing Address
First Line	:	110 IRVING ST NW
Second Line	:	1E-7
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2975
Country	:	US
Telephone Number	:	202-877-8085
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 IRVING ST NW
Second Line	:	1E-7
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2975
Country	:	US
Telephone Number	:	202-877-8085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	09/28/2023

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