Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | LP04904 | RI |
N | 207PP0204X | Pediatric Emergency Physician | 298965 | NY |
NPI | 1477915874 |
---|---|
Provider Name | Dr. Ian Benjamin Hoffman |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 15/06/2020 |