Individual
DR. JACK VAN HOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 650-5541
(603) 650-0591
Mailing address
1 MEDICAL CENTER DR, DHMC DEPT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 650-5441
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
024892
CT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
13840
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012488921
—
CT
05
—
1014546
—
VT
05
—
30207394
—
NH
Enumeration date
12/01/2005
Last updated
10/14/2011
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