1497859581 NPI number — ASTRID HOFFMANN-OLSEN MD

Table of content: ASTRID HOFFMANN-OLSEN MD (NPI 1497859581)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497859581 NPI number — ASTRID HOFFMANN-OLSEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFFMANN-OLSEN
Provider First Name:
ASTRID
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497859581
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
190 W BROAD ST
Provider Second Line Business Mailing Address:
STE G401 WHITTINGHAM PAVILION
Provider Business Mailing Address City Name:
STAMFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06902-3633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-325-4321
Provider Business Mailing Address Fax Number:
203-975-7515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 W BROAD ST
Provider Second Line Business Practice Location Address:
STE G401 WHITTINGHAM PAVILION
Provider Business Practice Location Address City Name:
STAMFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06902-3633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-325-4321
Provider Business Practice Location Address Fax Number:
203-975-7515
Provider Enumeration Date:
09/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  034564 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 061483728 . This is a "GRWE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "HLCT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "NEDH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZP688 . This is a "OHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010034564CT01 . This is a "BCCT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "FIRH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "MULT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "NYGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 160001787 . This is a "MCR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0V5980 . This is a "HNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 172438 . This is a "FCCT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2116496 . This is a "ATNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 774921 . This is a "CTCR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "HMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "CGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "CHCR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061483728 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".




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