Provider Demographics
NPI:1083670798
Name:HOFFMAN, MARC E (DO)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:E
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5835
Mailing Address - Country:US
Mailing Address - Phone:412-288-0885
Mailing Address - Fax:412-281-1926
Practice Address - Street 1:1835 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5835
Practice Address - Country:US
Practice Address - Phone:412-288-0885
Practice Address - Fax:412-281-1926
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003935L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009223570002Medicaid
PA108675FH9Medicare PIN
WV0753771Medicare PIN
PA0009223570002Medicaid