Individual
MARY KATHERINE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 763-3601
(910) 763-4608
Mailing address
1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 763-3601
(910) 763-4608
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036090169
IL
207W00000X
Ophthalmology Physician
Primary
2019-00614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623637
BLUE SHIELD
IL
05
—
036090169
—
IL
Enumeration date
09/14/2005
Last updated
10/26/2020
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