Individual
STANLEY HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HIGHLAND ST, G3, MILTON, MA 02186-3881
(617) 696-9299
(617) 298-2107
Mailing address
100 HIGHLAND ST, G3, MILTON, MA 02186-3881
(617) 696-9299
(617) 298-2107
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
58824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17352
HARVARD PILGRIM
MA
05
—
3036260
—
MA
01
—
709171
TUFTS
MA
01
—
J06916
BLUE SHIELD
MA
Enumeration date
06/05/2006
Last updated
01/15/2016
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