MEDICARE: MICHAEL HOPMAN, D.M.D., P.A.

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	122300000X	Dentist	22DI01256500	NJ

General Provider Information

NPI Number	:	1952513137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL HOPMAN, D.M.D., P.A.

Provider Business Mailing Address
First Line	:	450 LEWIS ST
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-2912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 LEWIS ST
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-2912
Country	:	US
Telephone Number	:	201-461-4800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL HOPMAN
Credential	:
Telephone Number	:	201-461-4800

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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