Provider Demographics
NPI:1760446041
Name:TERESA HOFFMAN M.D. AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:TERESA HOFFMAN M.D. AND ASSOCIATES, LLC
Other - Org Name:HOFFMAN AND BERKOWITZ, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-633-6747
Mailing Address - Street 1:536 EDGEWATER RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5632
Mailing Address - Country:US
Mailing Address - Phone:410-439-8399
Mailing Address - Fax:
Practice Address - Street 1:6610 TRIBUTARY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6514
Practice Address - Country:US
Practice Address - Phone:410-633-6300
Practice Address - Fax:410-633-6736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty