Individual
CHARLES J HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NICHQ, 20 UNIVERSITY ROAD, CAMBRIDGE, MA 02138
(617) 301-4807
Mailing address
20 UNIVERSITY RD, 7TH FLOOR, CAMBRIDGE, MA 02138-5756
(617) 301-4807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49754
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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