Provider Demographics
NPI:1770638900
Name:HOFMAN, JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:HOFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EWING ST.
Mailing Address - Street 2:SUITE C-13
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2758
Mailing Address - Country:US
Mailing Address - Phone:609-924-3023
Mailing Address - Fax:609-924-5759
Practice Address - Street 1:601 EWING ST.
Practice Address - Street 2:SUITE C-13
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2758
Practice Address - Country:US
Practice Address - Phone:609-924-3023
Practice Address - Fax:609-924-5759
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04625400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE71924Medicare UPIN