Provider Demographics
NPI:1871589226
Name:HOFFMAN, MICHAEL ALAN (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALAN
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4796 SPRING HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SOLON
Mailing Address - State:VA
Mailing Address - Zip Code:22843-2801
Mailing Address - Country:US
Mailing Address - Phone:540-885-7417
Mailing Address - Fax:540-886-2348
Practice Address - Street 1:102 MACTANLY PL
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2316
Practice Address - Country:US
Practice Address - Phone:540-886-3063
Practice Address - Fax:540-886-6246
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010350482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB08185Medicare UPIN