Provider Demographics
NPI:1700144607
Name:HOFFMAN, INGEBORG SCHRAFT (MD)
Entity Type:Individual
Prefix:DR
First Name:INGEBORG
Middle Name:SCHRAFT
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 HARMON COVE TOWER
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-1746
Mailing Address - Country:US
Mailing Address - Phone:201-866-1188
Mailing Address - Fax:
Practice Address - Street 1:1938 HARMON COVE TOWER
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-1746
Practice Address - Country:US
Practice Address - Phone:201-866-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD01042700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics