Individual
THEODORE FREDERICK HOFFMAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
REILLY ROAD, WOMACK ARMY MEDICAL CENTER FORT BRAGG OPERATING ROOM, FAYETTEVILLE, NC 28310
(910) 907-7668
(910) 907-8015
Mailing address
2817 REILLY ROAD, WOMACK ARMY CETNER MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24159
BCBS
NC
05
—
8942915
—
NC
Enumeration date
01/12/2006
Last updated
07/08/2007
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