Provider Demographics
NPI:1497756092
Name:HOFFMAN, ROBERT PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PHILIP
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 STAFFORD ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3581
Mailing Address - Country:US
Mailing Address - Phone:413-737-1600
Mailing Address - Fax:413-746-5926
Practice Address - Street 1:300 STAFFORD ST
Practice Address - Street 2:SUITE 306
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3581
Practice Address - Country:US
Practice Address - Phone:413-737-1600
Practice Address - Fax:413-746-5926
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA41138207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAN51673OtherBLUE CROSS BLUE SHIELD
MA2052393Medicaid
MA2052393Medicaid
MAN51673Medicare PIN