Individual
ANDREW T HOMLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 BLOOMFIELD AVE STE 102, DENVILLE, NJ 07834-0015
(973) 951-5903
Mailing address
46 CLINTON AVE, SPRINGFIELD, NJ 07081-1816
(973) 951-5903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00638000
NJ
Other
Enumeration date
08/23/2021
Last updated
10/01/2021
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