Individual
DR. JACOB HEINZ HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 BOWNE DR, WALDEN, NY 12586-2832
(845) 572-3477
Mailing address
151 BOWNE DR, WALDEN, NY 12586-2832
(845) 572-3477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23851
WV
207Q00000X
Family Medicine Physician
Primary
261393
NY
207Q00000X
Family Medicine Physician
MD442316
PA
Other
Enumeration date
05/16/2008
Last updated
09/15/2022
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