Provider Demographics
NPI:1245352483
Name:HOFFMAN MEDICAL ASSOCIATES PC
Entity type:Organization
Organization Name:HOFFMAN MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-868-1323
Mailing Address - Street 1:5325 NORTHGATE DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9411
Mailing Address - Country:US
Mailing Address - Phone:610-868-1323
Mailing Address - Fax:610-694-8711
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:SUITE 207
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-868-1323
Practice Address - Fax:610-694-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035194E207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1488473OtherHIGHMARK BS
PA2205421000OtherIBC
057689Medicare PIN
PA2205421000OtherIBC