Individual
DR. GEORGE HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 ADAMS STREET, SUITE 20, QUINCY, MA 02169
(617) 773-7754
(617) 328-0957
Mailing address
101 ADAMS STREET, SUITE 20, QUINCY, MA 02169
(617) 773-7754
(617) 328-0957
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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