Provider Demographics
NPI:1023044757
Name:WILLIAM A HORN MD
Entity Type:Organization
Organization Name:WILLIAM A HORN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF THE PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-672-5260
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-0552
Mailing Address - Country:US
Mailing Address - Phone:215-672-5260
Mailing Address - Fax:215-672-5287
Practice Address - Street 1:331 N YORK RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2033
Practice Address - Country:US
Practice Address - Phone:215-672-5260
Practice Address - Fax:215-672-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0111080000OtherINDEPENDENCE BLUE CROSS
PA0111080000OtherINDEPENDENCE BLUE CROSS