Provider Demographics
NPI:1013972322
Name:HOFFMAN, DAVID SANDOR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SANDOR
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 1:803 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-5110
Mailing Address - Country:US
Mailing Address - Phone:908-273-9500
Mailing Address - Fax:908-273-4626
Practice Address - Street 1:803 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-5110
Practice Address - Country:US
Practice Address - Phone:908-273-9500
Practice Address - Fax:908-273-4626
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA44487207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D18627Medicare UPIN