person
Dr. Glen Theodore Hofstrom, MD
Family Medicine Physician in South Williamsport, Pennsylvania
NPI 1619939550

Glen Theodore Hofstrom is a Family Medicine Physician based in Williamsport, PA. Glen Theodore Hofstrom practices in South Williamsport, PA and has the professional credentials of MD. The NPI Number for Glen Theodore Hofstrom is 1619939550 and holds a License No. MD019823E (Pennsylvania).

The current practice location address for Glen Theodore Hofstrom is 145 Shaffer St, South Williamsport, PA and can be reached out via phone at 570-326-2447 and via fax at 570-326-1247.

Location: 145 Shaffer St, South Williamsport, PA, 17701-1900
person
Provider Profile Details
NPI Number
1619939550
Provider Name
Glen Theodore Hofstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
145 Shaffer St, South Williamsport, PA, 17701-1900
Phone Number
570-326-2447
Fax Number
570-326-1247
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
544226 01 PA AETNA
001793 01 PA FIRST PRIORITY HEALTH
B34545 01 PA HEALTHAMERICA
0010813260001 05 PA
057619 01 PA HIGHMARK BLUE SHIELD
1553395 01 PA UNITEDHEALTHCARE
institution
Provider Business Practice Location Address Details
Address
145 Shaffer St
City
State
Zip
17702-6727
Phone Number
570-326-2447
Fax Number
570-326-1247
person
Provider Business Mailing Address Details
Address
145 Shaffer St
City
State
Zip
17702-6727
Phone Number
570-326-2447
Fax Number
570-326-1247
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD019823E (Pennsylvania)
Definition
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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