Provider Demographics
NPI:1952608705
Name:JEFFREY HOFMAN , MD. LLC
Entity Type:Organization
Organization Name:JEFFREY HOFMAN , MD. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-924-3023
Mailing Address - Street 1:601 EWING ST
Mailing Address - Street 2:SUITE C-13
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2757
Mailing Address - Country:US
Mailing Address - Phone:609-924-3023
Mailing Address - Fax:609-924-5759
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:SUITE C-13
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2758
Practice Address - Country:US
Practice Address - Phone:609-924-3023
Practice Address - Fax:609-924-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04625400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE71924Medicare UPIN