Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO 00001900 | NJ |
Y | 222Z00000X | Podiatrist | PO 00001900 | NJ |
N | 224P00000X | Prosthetist | PO 00001900 | NJ |
NPI | 1356335343 |
---|---|
Provider Name | Mr. Eric S. Hoffman |
First Address | Marlboro, NJ 07746-2223 |
Second Address | Marlboro, NJ 07746-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 14/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00696355 | (05) | NY |
3252001 | (05) | NJ |