Provider Demographics
NPI:1275511875
Name:HOROWITZ, ARNOLD A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:A
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 ROUTE 18 STE 116
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3722
Mailing Address - Country:US
Mailing Address - Phone:732-613-8637
Mailing Address - Fax:732-613-8638
Practice Address - Street 1:646 ROUTE 18 STE 116
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3722
Practice Address - Country:US
Practice Address - Phone:732-613-8637
Practice Address - Fax:732-613-8638
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD002677213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8784400Medicaid
NJ054192Medicare ID - Type Unspecified