Provider Demographics
NPI:1497859581
Name:HOFFMANN-OLSEN, ASTRID (MD)
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:
Last Name:HOFFMANN-OLSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 W BROAD ST
Mailing Address - Street 2:STE G401 WHITTINGHAM PAVILION
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3633
Mailing Address - Country:US
Mailing Address - Phone:203-325-4321
Mailing Address - Fax:203-975-7515
Practice Address - Street 1:190 W BROAD ST
Practice Address - Street 2:STE G401 WHITTINGHAM PAVILION
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3633
Practice Address - Country:US
Practice Address - Phone:203-325-4321
Practice Address - Fax:203-975-7515
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034564207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
061483728OtherGRWE
061483728OtherHLCT
061483728OtherNEDH
061483728OtherONE
ZP688OtherOHP
010034564CT01OtherBCCT
061483728OtherFIRH
061483728OtherMULT
061483728OtherNYGE
160001787OtherMCR
0V5980OtherHNET
172438OtherFCCT
2116496OtherATNA
774921OtherCTCR
061483728OtherHMC
061483728OtherCGNA
061483728OtherCHCR
061483728OtherPHCS
061483728OtherHLCT
2116496OtherATNA