Individual
TASHA E HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
895 UNION ST, SUITE 12, BANGOR, ME 04401-3053
(207) 973-7979
(207) 947-9579
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1755
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311800099
—
ME
Enumeration date
03/27/2006
Last updated
10/16/2014
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