| Dr Glen Theodore Hofstrom, MD | |
|
145 Shaffer St, South Williamsport, PA 17702-6727 | |
| (570) 326-2447 | |
| (570) 326-1247 |
| Full Name | Dr Glen Theodore Hofstrom |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 145 Shaffer St, South Williamsport, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619939550 | NPI | - | NPPES |
| 544226 | Other | PA | AETNA |
| 001793 | Other | PA | FIRST PRIORITY HEALTH |
| B34545 | Other | PA | HEALTHAMERICA |
| 0010813260001 | Medicaid | PA | |
| 057619 | Other | PA | HIGHMARK BLUE SHIELD |
| 1553395 | Other | PA | UNITEDHEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD019823E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen Theodore Hofstrom, MD 1201 Grampian Blvd, Suite 1k, Williamsport, PA 17701-1900 Ph: () - | Dr Glen Theodore Hofstrom, MD 145 Shaffer St, South Williamsport, PA 17702-6727 Ph: (570) 326-2447 |
Michelle Cavanaugh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Shaffer St, South Williamsport, PA 17702 Phone: 570-326-2447 | |
Dr. Terry Alan Belles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Shaffer St, South Williamsport, PA 17702 Phone: 570-326-2447 Fax: 570-326-1247 | |
Sara Swain, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Shaffer St, South Williamsport, PA 17702 Phone: 570-326-2447 |