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Jennifer Hofstra MD NPI 1003079120

Classification
Internal Medicine
Type
License No.
101247286
License State
VA
Certified
Location

Additional Identifiers

Medical School
EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year
2007
Identifier
Type
State
Identifier: 10060934
Type: OTHER (01)
State: VA
Identifier: PAR
Type: OTHER (01)
State: VA
Identifier: P00863710
Type: MEDICARE PIN (08)
State: VA
Identifier: 407988
Type: OTHER (01)
State: VA
Identifier: VAA101009
Type: MEDICARE PIN (08)
State: VA
Identifier: 1003079120
Type: MEDICAID (05)
State: VA
Identifier: -028
Type: OTHER (01)
State: VA
Identifier: 5915448
Type: MEDICAID (05)
State: NC

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1055 N CURTIS ROAD, BOISE, ID, 83706
Business Phone
757-446-8920
Mailing Address
3340 E GOLDSTONE WAY, MERIDIAN, ID, 836421026
Mailing Phone
208-367-7350
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