Provider Demographics
NPI:1043226269
Name:HOFFMAN, GINGER ANN (RD)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:ANN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SEAVER ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2637
Mailing Address - Country:US
Mailing Address - Phone:781-964-7065
Mailing Address - Fax:
Practice Address - Street 1:364 GRANITE AVE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-5025
Practice Address - Country:US
Practice Address - Phone:617-698-0260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1797133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered