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NPI Code Detail

MEDICARE: MARA E HOFFMAN

MEDICARE:   MARA E HOFFMAN
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
1174400000XSpecialist273250MA

General Provider Information

NPI Number : 1396257440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA E HOFFMAN
Provider Business Mailing Address
First Line : 40 ARMINGTON ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-2406
Country : US
Telephone Number : 617-635-8534
Fax Number :
Provider Business Practice Location Address
First Line : 40 ARMINGTON ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-2406
Country : US
Telephone Number : 617-635-8534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2017
Last Update Date : 03/17/2018

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Directions to “ MARA E HOFFMAN ” Practice Location

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