Individual
DR. UDO HOFFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CHARLES RIVER PLAZA, CPZ 4 CPZ 400 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114
(617) 726-1255
(617) 724-4152
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-1255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
216502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216502
TUFTS HEALTH PLAN
MA
01
—
J26415
BCBS MA
MA
Enumeration date
02/15/2006
Last updated
08/09/2012
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