Provider Demographics
NPI:1952454795
Name:HOFFMAN, RAYMOND STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:STEPHEN
Last Name:HOFFMAN
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 1:20 S CHARLES ST
Mailing Address - Street 2:#403
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3220
Mailing Address - Country:US
Mailing Address - Phone:410-528-1661
Mailing Address - Fax:
Practice Address - Street 1:20 S CHARLES ST
Practice Address - Street 2:#403
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3220
Practice Address - Country:US
Practice Address - Phone:410-528-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00377042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE39446Medicare UPIN
MDK759Medicare ID - Type Unspecified