NPI 1205806742

Mandolin Deborah Hoffman-Marino, PAC

Practitioner Physician Assistant Bridgeport, WV

Practice location

Address: 135 Professional Place, Bridgeport, WV 26330
Phone: (681) 342-3660
Fax: (681) 342-3598
Mailing address: 135 Professional Pl, Bridgeport, WV 26330-4509

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 01125 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1205806742
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2006
Record last updated: 12 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.