Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 0101020580 | VA |
NPI | 1144202367 |
---|---|
Provider Name | Dr. Peter Frederic Hoffman |
First Address | Round Hill, VA 20141-2214 |
Second Address | Round Hill, VA 20141-2214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 08/07/2007 |