Provider Demographics
NPI:1063444859
Name:JEFFREY D. HOROWITZ, M.D., L.L.C.
Entity Type:Organization
Organization Name:JEFFREY D. HOROWITZ, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-741-3440
Mailing Address - Street 1:10845 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-1717
Mailing Address - Country:US
Mailing Address - Phone:410-335-0008
Mailing Address - Fax:410-335-1133
Practice Address - Street 1:2225 OLD EMMORTON RD
Practice Address - Street 2:SUITE 111
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6129
Practice Address - Country:US
Practice Address - Phone:410-741-3440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC3794OtherCAREFIRST
MD11ZQJEOtherCAREFIRST
GADF0230OtherRAILROAD MEDICARE
MD11ZQJEOtherCAREFIRST