Provider Demographics
NPI:1144202367
Name:HOFFMAN, PETER FREDERIC (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FREDERIC
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34804 WILLIAMS GAP RD
Mailing Address - Street 2:
Mailing Address - City:ROUND HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20141-2214
Mailing Address - Country:US
Mailing Address - Phone:540-554-2335
Mailing Address - Fax:703-771-7471
Practice Address - Street 1:34804 WILLIAMS GAP RD
Practice Address - Street 2:
Practice Address - City:ROUND HILL
Practice Address - State:VA
Practice Address - Zip Code:20141-2214
Practice Address - Country:US
Practice Address - Phone:540-554-2335
Practice Address - Fax:703-771-7471
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101020580207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology