Provider Demographics
NPI:1689732216
Name:HOFFMANN, NANCY IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:IRENE
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:IRENE
Other - Last Name:HOFFMANN-WADHWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:215 E CAMDEN AVE
Mailing Address - Street 2:H 13
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1665
Mailing Address - Country:US
Mailing Address - Phone:856-235-7530
Mailing Address - Fax:856-234-5450
Practice Address - Street 1:215 E CAMDEN AVE
Practice Address - Street 2:H 13
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1665
Practice Address - Country:US
Practice Address - Phone:856-235-7530
Practice Address - Fax:856-234-5450
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine