Provider Demographics
NPI:1093974230
Name:HOFFMAN, MORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MORTON
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SHELTER ROCK PLACE
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2115
Mailing Address - Country:US
Mailing Address - Phone:856-234-1406
Mailing Address - Fax:856-234-0918
Practice Address - Street 1:5 SHELTER ROCK PLACE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2115
Practice Address - Country:US
Practice Address - Phone:856-234-1406
Practice Address - Fax:856-234-0918
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02355000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine