Individual
SCOTT HARWOOD HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(617) 952-5000
Mailing address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(617) 952-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
124482
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
270928
MA
208100000X
Physical Medicine & Rehabilitation Physician
4301108549
MI
Other
Enumeration date
06/08/2011
Last updated
07/21/2022
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