Provider Demographics
NPI:1255592663
Name:HOFFMANN, DAMON L (DO)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:L
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N FRANKLIN DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5892
Mailing Address - Country:US
Mailing Address - Phone:724-229-2424
Mailing Address - Fax:724-579-1614
Practice Address - Street 1:125 N FRANKLIN DR
Practice Address - Street 2:STE 3
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5892
Practice Address - Country:US
Practice Address - Phone:724-222-8871
Practice Address - Fax:724-222-8889
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015156208800000X
PAOT012379390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program