Basic Information
Provider Information
NPI: 1487760153
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFFMAN
FirstName: CAROL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: JAMES
OtherFirstName: CAROL
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2060 LIMESTONE RD
Address2: SUITE 205
City: WILMINGTON
State: DE
PostalCode: 198085500
CountryCode: US
TelephoneNumber: 3026570386
FaxNumber: 6103372133
Practice Location
Address1: 601 S HENDERSON RD
Address2: SUITE 250
City: KING OF PRUSSIA
State: PA
PostalCode: 194063596
CountryCode: US
TelephoneNumber: 6104912127
FaxNumber: 6103372133
Other Information
ProviderEnumerationDate: 08/22/2006
LastUpdateDate: 12/26/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XCI0003986DEY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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