Provider Demographics
NPI:1497952105
Name:HOFF, CLARISSA JO BEUTLER (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CLARISSA
Middle Name:JO BEUTLER
Last Name:HOFF
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:#8033
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-4700
Mailing Address - Fax:504-988-4701
Practice Address - Street 1:200 BROADWAY ST
Practice Address - Street 2:SUITE 230
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3557
Practice Address - Country:US
Practice Address - Phone:504-988-9000
Practice Address - Fax:504-988-9099
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2013-10-04
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Provider Licenses
StateLicense IDTaxonomies
LAMD.202813207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1355623Medicaid
LA4M077C822Medicare PIN