Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 012722 | LA |
NPI | 1013066604 |
---|---|
Provider Name | Eugene J Hoffman III |
First Address | Metairie, LA 70003-7611 |
Second Address | Metairie, LA 70006-2933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1158330 | (05) | LA |
B63692 | (02) | LA |