Individual
MAL PHILLIP HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1230 S CEDAR CREST BLVD STE 302304, ALLENTOWN, PA 18103-6367
(610) 402-2537
Mailing address
1230 S CEDAR CREST BLVD STE 302304, ALLENTOWN, PA 18103-6367
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS020457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT018268
PROFESSIONAL LICENSE NUMBER
PA
Enumeration date
05/24/2018
Last updated
06/08/2023
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