Individual
DR. MARK MICHAEL HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PARK STREET, CR WOOD CANCER CENTER, GLENS FALLS, NY 12801
(518) 926-6620
(518) 926-6626
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1540861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00962730
—
NY
Enumeration date
12/07/2005
Last updated
06/29/2021
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