Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN THEODORE HOFSTROM, MD
ActiveDR. GLEN THEODORE HOFSTROM, MD is a Family Medicine healthcare provider located in SOUTH WILLIAMSPORT, Pennsylvania. NPI 1619939550 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH WILLIAMSPORT, PA
Registration Details
- NPI Number
- 1619939550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.353464689757 yrs)
- Last Updated
- Oct 20, 2011
- License
-
MD019823E (PA)
Practice Information
- Address
-
145 SHAFFER STSOUTH WILLIAMSPORT, PA, 177026727Browse PA providers · Browse ZIP 17702
- Phone
- 5703262447
- Fax
- 5703261247
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTH WILLIAMSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| MICHELLE CAVANAUGH | — | 1023082351 |
| DR. TERRY ALAN BELLES | MD | 1457314122 |
| SARA SWAIN | — | 1942597281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.