Organization
STUART M HOMER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART M HOMER MD (PRESIDENT)
(732) 602-0244
Entity
Organization
Contact information
Practice address
1030 SAINT GEORGES AVE, SUITE 201, AVENEL, NJ 07001-1390
(732) 602-0244
(732) 602-2577
Mailing address
1030 SAINT GEORGES AVE, SUITE 201, AVENEL, NJ 07001-1390
(732) 602-0244
(732) 602-2577
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305529
—
NJ
Enumeration date
12/05/2006
Last updated
11/13/2012
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