Provider Demographics
NPI:1760563043
Name:HOFFMAN, ALISA HOPE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISA
Middle Name:HOPE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST CHRISTOPHER'S HOSPITAL FOR CHILDREN
Mailing Address - Street 2:ERIE AT FRONT STREET
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134
Mailing Address - Country:US
Mailing Address - Phone:215-427-4869
Mailing Address - Fax:
Practice Address - Street 1:617 BRAEBURN LN
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1504
Practice Address - Country:US
Practice Address - Phone:205-566-0570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057491L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics