Provider Demographics
NPI:1033407911
Name:HOFFMAN, STEVEN (LAC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3373
Mailing Address - Country:US
Mailing Address - Phone:609-924-9500
Mailing Address - Fax:
Practice Address - Street 1:4475 ROUTE 27
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:08528
Practice Address - Country:US
Practice Address - Phone:609-924-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00081100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist