Provider Demographics
NPI:1255480869
Name:HOFFMAN, PETER C (PA)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:9199 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 107B
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4520
Mailing Address - Country:US
Mailing Address - Phone:410-998-3993
Mailing Address - Fax:410-998-3995
Practice Address - Street 1:9199 REISTERSTOWN RD
Practice Address - Street 2:SUITE 107B
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4520
Practice Address - Country:US
Practice Address - Phone:410-998-3993
Practice Address - Fax:410-998-3995
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2011-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD00624213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1255480869Medicare NSC