Provider Demographics
NPI:1487760153
Name:HOFFMAN, CAROL (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2060 LIMESTONE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5500
Mailing Address - Country:US
Mailing Address - Phone:302-657-0386
Mailing Address - Fax:610-337-2133
Practice Address - Street 1:601 S HENDERSON RD
Practice Address - Street 2:SUITE 250
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3596
Practice Address - Country:US
Practice Address - Phone:610-491-2127
Practice Address - Fax:610-337-2133
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECI0003986207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F87261Medicare UPIN
DEG021874D01Medicare ID - Type Unspecified