Individual
ELAINE G HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
MASS REHAB COMMISSION, 22 FRONT STREET, WORCESTER, MA 01608
(800) 551-5532
Mailing address
12 LAKESHORE DR, HOPKINTON, MA 01748-2712
(800) 551-5532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204209
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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