Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA44487 | NJ |
NPI | 1013972322 |
---|---|
Provider Name | Dr. David Sandor Hoffman |
First Address | Summit, NJ 07901-5110 |
Second Address | Summit, NJ 07901-5110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 24/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D18627 | (02) |