Individual
STANLEY HOM
Active
Individual
STANLEY HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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