Provider Demographics
NPI:1689617995
Name:HOFFMAN, REBECCAH A (MD)
Entity Type:Individual
Prefix:
First Name:REBECCAH
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:412-457-0092
Practice Address - Street 1:1000 INFINITY DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:724-733-5151
Practice Address - Fax:724-327-7221
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072615L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
220246OtherUPMC HEALTH PLAN
7497271OtherAETNA
950447OtherBLUE SHIELD
P004487OtherGATEWAY HEALTH PLAN
220246OtherUPMC HEALTH PLAN
950447OtherBLUE SHIELD
P004487OtherGATEWAY HEALTH PLAN