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NPI Code Detail

MEDICARE: DR. MATTHEW HOMSI D.M.D

MEDICARE:  DR. MATTHEW  HOMSI  D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22DI02558900NJ

General Provider Information

NPI Number : 1760804934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW HOMSI D.M.D
Provider Business Mailing Address
First Line : 1913 GREVE AVE
Second Line : APT F
City : SPRING LAKE
State : NJ
Zip : 07762-2354
Country : US
Telephone Number : 201-245-9868
Fax Number :
Provider Business Practice Location Address
First Line : 1913 GREVE AVE
Second Line : APT F
City : SPRING LAKE
State : NJ
Zip : 07762-2354
Country : US
Telephone Number : 201-245-9868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2014
Last Update Date : 01/07/2014

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Directions to “ DR. MATTHEW HOMSI D.M.D” Practice Location

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