Individual
ROBERT J HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 CEDAR ST, LAUDER HALL ROM 108, NEW HAVEN, CT 06510-3218
(203) 785-3624
(203) 785-7037
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
031887
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318874
—
CT
Enumeration date
11/17/2005
Last updated
07/08/2008
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