Basic Information
| Provider Information | |||||||||
| NPI: | 1710918693 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOFFMAN HEALTH PARTNERS PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 YORK AVENUE | ||||||||
| Address2: | |||||||||
| City: | TOWANDA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702684096 | ||||||||
| FaxNumber: | 5702657824 | ||||||||
| Practice Location | |||||||||
| Address1: | 380 YORK AVENUE | ||||||||
| Address2: | |||||||||
| City: | TOWANDA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702684096 | ||||||||
| FaxNumber: | 5702657824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 05/23/2008 | ||||||||
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| AuthorizedOfficialLastName: | HOFFMAN | ||||||||
| AuthorizedOfficialFirstName: | TIMOTHY | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5702684096 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.