Individual
DR. ANDREW PAUL HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5668 E STATE ST, ROCKFORD, IL 61108-2464
(815) 229-7580
Mailing address
5668 E STATE ST, ROCKFORD, IL 61108-2464
(815) 229-7580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036117563
IL
208600000X
Surgery Physician
MD038860E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117563
—
IL
Enumeration date
08/28/2006
Last updated
10/02/2015
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