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Individual
SUSAN H HOFFMAN
Active
Individual
SUSAN H HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G79922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B799220
BLUE SHIELD OF CA PIN
CA
05
—
00G799220
—
GA
01
—
G79922
MEDICAL LICENSE #
CA
Enumeration date
06/17/2005
Last updated
12/21/2016
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