Provider Demographics
NPI:1194782078
Name:HOFFMAN, DAVID EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3316 MORAVIAN CT
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-2056
Mailing Address - Country:US
Mailing Address - Phone:610-691-3845
Mailing Address - Fax:
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:SUITE 207
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-868-1323
Practice Address - Fax:610-694-8711
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035194E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0083665000OtherIBC
PA144162OtherHIGHMARK BS
PA144162OtherHIGHMARK BS
PAD68802Medicare UPIN