Provider Demographics
NPI:1376581108
Name:HOROWITZ, JEROME HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:HOWARD
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 BRISTOL PIKE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5720
Mailing Address - Country:US
Mailing Address - Phone:215-638-0555
Mailing Address - Fax:215-638-2929
Practice Address - Street 1:2217 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5720
Practice Address - Country:US
Practice Address - Phone:215-638-0555
Practice Address - Fax:215-638-2929
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007736E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics