Homer L Nelson


Address: 410 Chancellor Ave, Newark, NJ 07112-1030

Homer L Nelson (NPI# 1578667044, PAC ID# 1153371521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1578667044
PAC ID by PECOS 1153371521
Professional Enrollment ID I20050125000272
Full Name Homer L Nelson
Address 410 Chancellor Ave
Newark
NJ 07112-1030
Gender M
Credential MD
Medical School UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 1983
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
410 Chancellor Ave, Newark, NJ 07112-1030

Organization Information

Office Location

Street Address 410 CHANCELLOR AVE
City NEWARK
State NJ
Zip 07112-1030

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Competitor

Search similar physicians

City NEWARK
Zip Code 07112
Specialty INTERNAL MEDICINE
City + Specialty NEWARK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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