1689933350 NPI number — STEVEN HORVITZ, D.O., FAMILY MEDICINE, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689933350 NPI number — STEVEN HORVITZ, D.O., FAMILY MEDICINE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEVEN HORVITZ, D.O., FAMILY MEDICINE, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689933350
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 MARTER AVE
Provider Second Line Business Mailing Address:
SUITE 408
Provider Business Mailing Address City Name:
MOORESTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08057-3124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-231-0590
Provider Business Mailing Address Fax Number:
856-294-0311

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 MARTER AVE
Provider Second Line Business Practice Location Address:
SUITE 408
Provider Business Practice Location Address City Name:
MOORESTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08057-3124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-231-0590
Provider Business Practice Location Address Fax Number:
856-294-0311
Provider Enumeration Date:
05/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
HORVITZ
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
856-231-0590

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  25MB06034600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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