Provider Demographics
NPI:1356453377
Name:HOMSY, FARHAT N (MD)
Entity Type:Individual
Prefix:MR
First Name:FARHAT
Middle Name:N
Last Name:HOMSY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:125 PARKER HILL AVE
Mailing Address - Street 2:SUITE #390
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-232-7909
Mailing Address - Fax:617-232-7998
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:SUITE #390
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120
Practice Address - Country:US
Practice Address - Phone:617-232-7909
Practice Address - Fax:617-232-7998
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA45108208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2085682Medicaid
A56395Medicare UPIN
MAH0J02141Medicare ID - Type Unspecified