Individual provider · Type 1 NPI

Glen Theodore Hofstrom, MD

Family Medicine Physician · South Williamsport, PA

NPI number 1619939550 Active

Practice location

145 Shaffer St
South Williamsport, PA 17702-6727

Call (570) 326-2447 Map

Fax (570) 326-1247

Mailing address

1201 Grampian Blvd, Suite 1K
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD019823E (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1619939550

Glen Theodore Hofstrom, MD's National Provider Identifier is 1619939550, issued on Apr 5, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Williamsport, PA. The record was last updated on Oct 20, 2011.