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Individual
DR. GEORGE HOM
Active
Individual
DR. GEORGE HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54474
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008498
BOSTON HEALTH NET
MA
01
—
054474
TUFTS
MA
01
—
1201532
UNITED
MA
01
—
202111
HARVARD
MA
01
—
2267596
AETNA
MA
05
—
3009742
—
MA
01
—
B10391101
CIGNA
MA
01
—
J05656
BCBS
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
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