Homer, Robert J

Homer, Robert J is an individual health care provider with primary practice located at 310 Cedar St Lauder Hall Rom 108, New Haven CT 06510-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Homer, Robert J can be contacted via phone (203) 785-3624.

Contact Information

Primary practice address
310 Cedar St Lauder Hall Rom 108 New Haven CT 06510-3218
Phone: (203) 785-3624
Fax: (203) 785-7037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 031887 Connecticut

Profile Details

NPI number 1114909835
LBN Legal business name Homer, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114909835 NPPES
Connecticut MEDICAID 001318874

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