Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 013480 | ME |
NPI | 1003981200 |
---|---|
Provider Name | Dr. Deborah S Hoffert |
First Address | Belfast, ME 04915-4839 |
Second Address | Bangor, ME 04401-5660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127740000 | (05) | ME |
E37834 | (02) | ME |