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Individual

DR. JENNIFER A HOFSTRA

Active
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Individual

DR. JENNIFER A HOFSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247286
VA
207R00000X
Internal Medicine Physician
Primary
M-13462
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-028
TRICARE/CHAMPUS
VA
05
1003079120
VA
01
10060934
OPTIMA HEALTH
VA
01
407988
ANTHEM BC/BS
VA
05
5915448
NC
01
PAR
MULTIPLAN
VA
Enumeration date
07/09/2008
Last updated
11/23/2016
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