Provider Demographics
NPI:1760431548
Name:HOFFMAN, BRUCE I
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:I
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7908 BUSTLETON AVE
Mailing Address - Street 2:#B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152
Mailing Address - Country:US
Mailing Address - Phone:215-725-7400
Mailing Address - Fax:215-725-5827
Practice Address - Street 1:7908 BUSTLETON AVE
Practice Address - Street 2:#B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152
Practice Address - Country:US
Practice Address - Phone:215-725-7400
Practice Address - Fax:215-725-5827
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017353F207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology