Organization
STANLEY HOM,MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY HOM M.D. (DOCTOR)
(781) 331-2737
Entity
Organization
Contact information
Practice address
780 MAIN ST, SUITE 1-D, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-2737
(781) 340-0546
Mailing address
780 MAIN ST, SUITE 1-D, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-2737
(781) 340-0546
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
58824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18313
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/20/2007
Last updated
07/20/2007
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