Provider Demographics
NPI:1356484182
Name:HOFSCHNEIDER, JAMES UNTALAN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:UNTALAN
Last Name:HOFSCHNEIDER
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:PO BOX 500589
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-234-8950
Mailing Address - Fax:670-234-8930
Practice Address - Street 1:COMMON WEALTH HEALTH CENTER
Practice Address - Street 2:LOWER NAVY HILL GARAPAN
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96960
Practice Address - Country:UM
Practice Address - Phone:670-234-8950
Practice Address - Fax:670-234-8930
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine