Mal Phillip Homan, DO | |
1230 S Cedar Crest Blvd Ste 302304, Allentown, PA 18103-6367 | |
(610) 402-2537 | |
Not Available |
Full Name | Mal Phillip Homan |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 1230 S Cedar Crest Blvd Ste 302304, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306337464 | NPI | - | NPPES |
OT018268 | Other | PA | PROFESSIONAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | OS020457 (Pennsylvania) | Primary |
Entity Name | Kidney Care Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962992404 PECOS PAC ID: 9931450079 Enrollment ID: O20181127000039 |
Mailing Address | Practice Location Address |
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Mal Phillip Homan, DO 1230 S Cedar Crest Blvd Ste 302304, Allentown, PA 18103-6367 Ph: () - | Mal Phillip Homan, DO 1230 S Cedar Crest Blvd Ste 302304, Allentown, PA 18103-6367 Ph: (610) 402-2537 |
Jessica Mary Boehmler, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103 Phone: 610-439-8856 Fax: 610-439-8856 | |
Muhammad Majeed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-5369 | |
Allison Jane Baragona, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Cedar Crest Blvd Ste 110, Allentown, PA 18104 Phone: 610-821-2828 Fax: 610-821-7915 | |
James A Burke, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Cedar Crest Blvd, Suite 300, Allentown, PA 18103 Phone: 610-402-3110 Fax: 610-402-3112 | |
Stephen R Shore, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1901 Hamilton St Ste 300, Allentown, PA 18104 Phone: 610-628-7900 Fax: 833-816-7513 | |
Tarika Sejal Chowdhary, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 17th & Chew, Suite 101, Allentown, PA 18105 Phone: 610-969-4370 | |
Ashley Vojtek, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 484-862-3200 |