Provider Demographics
NPI:1366814972
Name:HOFFMANN, MATTHEW PETER JR (CSA)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:PETER
Last Name:HOFFMANN
Suffix:JR
Gender:M
Credentials:CSA
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Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:MOHRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19541-0121
Mailing Address - Country:US
Mailing Address - Phone:484-332-4532
Mailing Address - Fax:
Practice Address - Street 1:2007 CROWN MILL DR
Practice Address - Street 2:
Practice Address - City:MOHRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19541-9403
Practice Address - Country:US
Practice Address - Phone:484-332-4532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical