Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | MD040154E | PA |
NPI | 1326067869 |
---|---|
Provider Name | William Scott Hoff |
First Address | Fountain Hill, PA 18015-1155 |
Second Address | Fountain Hill, PA 18015-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 04/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001288533 | (05) | PA |
F29096 | (02) | PA |