Provider Demographics
NPI:1730159674
Name:HOSTOFFER, ROBERT W (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:HOSTOFFER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:5915 LANDERBROOK DR
Mailing Address - Street 2:STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4039
Mailing Address - Country:US
Mailing Address - Phone:216-381-3333
Mailing Address - Fax:216-381-3002
Practice Address - Street 1:5915 LANDERBROOK DR
Practice Address - Street 2:STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4039
Practice Address - Country:US
Practice Address - Phone:216-381-3333
Practice Address - Fax:216-381-3002
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2015-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34004202207K00000X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
E10924Medicare UPIN
OHH00697534Medicare ID - Type Unspecified