Individual
STUART MICHAEL HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 SAINT GEORGES AVE, STE 201, AVENEL, NJ 07001-1330
(732) 602-0244
(732) 602-2577
Mailing address
1030 SAINT GEORGES AVE, STE 201, AVENEL, NJ 07001-1330
(732) 602-0244
(732) 602-2577
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA46118
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1862006
—
NJ
Enumeration date
06/28/2005
Last updated
02/13/2012
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