MEDICARE: DR. PAUL J HOFFMAN DDS

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	1223P0700X	Prosthodontics	24020	NY

General Provider Information

NPI Number	:	1437287430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL J HOFFMAN DDS

Provider Business Mailing Address
First Line	:	203 E 62ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-7685
Country	:	US
Telephone Number	:	212-355-4300
Fax Number	:	212-752-6852

Provider Business Practice Location Address
First Line	:	203 E 62ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-7685
Country	:	US
Telephone Number	:	212-355-4300
Fax Number	:	212-752-6852

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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