MEDICARE: DR. ROBERT W HOSTOFFER DO

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	207K00000X	Allergy & Immunology Physician	34004202	OH
2	207KA0200X	Allergy Physician	34004202	OH

General Provider Information

NPI Number	:	1730159674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT W HOSTOFFER DO

Provider Business Mailing Address
First Line	:	5915 LANDERBROOK DR
Second Line	:	STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4039
Country	:	US
Telephone Number	:	216-381-3333
Fax Number	:	216-381-3002

Provider Business Practice Location Address
First Line	:	5915 LANDERBROOK DR
Second Line	:	STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4039
Country	:	US
Telephone Number	:	216-381-3333
Fax Number	:	216-381-3002

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	01/02/2015

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