Provider Demographics
NPI:1003971730
Name:HORTON, EDWARD SCHURR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:SCHURR
Last Name:HORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:227 SUMMIT AVE APT W303
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2326
Mailing Address - Country:US
Mailing Address - Phone:617-566-1129
Mailing Address - Fax:
Practice Address - Street 1:1 JOSLIN PL
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5306
Practice Address - Country:US
Practice Address - Phone:617-309-2400
Practice Address - Fax:617-732-2572
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA77268207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC65416Medicare UPIN