Free National NPI Number Registry
George R Homa
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NPI Number Detailed Information
Provider Information:
| Name: | George R Homa |
| Gender: | M |
| Provider License Number If Given: | OS004152L |
NPI Information:
| NPI: | 1316932890 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/28/2010 |
Provider Business Mailing Address:
| Address: | 1 W ELM ST SUITE 100 Conshohocken, PA 19428 |
| Phone Number: | 6105676967 |
| Fax Number: | 6105676955 |
Provider Business Practice Location Address:
| Address: | 700 DEKALB ST Bridgeport, PA 19405 |
| Phone Number: | 6102776200 |
| Fax Number: | 6102773437 |
Provider Taxonomy:
| Primary: | 207Q00000X |
| Secondary (if any): | 208D00000X |
| State: | PA |
