Provider Demographics
NPI:1063435741
Name:HOFFMAN, THOMAS EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:888 OAK GROVE AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4432
Mailing Address - Country:US
Mailing Address - Phone:650-325-1511
Mailing Address - Fax:650-617-1079
Practice Address - Street 1:888 OAK GROVE AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4432
Practice Address - Country:US
Practice Address - Phone:650-325-1511
Practice Address - Fax:650-617-1079
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20623207N00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40985Medicare UPIN