Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 13495 | NH |
NPI | 1124226873 |
---|---|
Provider Name | Eric J Hoffman |
First Address | Nashua, NH 03060-3648 |
Second Address | Nashua, NH 03060-3648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2007 |
Last Update Date | 05/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04Y012181NH01 | ANTHEM (01) | NH |
2140331 | (05) | MA |
30226038 | (05) | NH |
AA98354 | HARVARD PILGRIM (01) |