Provider Demographics
NPI:1629226436
Name:SHARYN S. AND STUART L. HORWITZ, PA
Entity Type:Organization
Organization Name:SHARYN S. AND STUART L. HORWITZ, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-983-5482
Mailing Address - Street 1:12220 LAKE POTOMAC TER
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1222
Mailing Address - Country:US
Mailing Address - Phone:301-983-5482
Mailing Address - Fax:301-983-4731
Practice Address - Street 1:12220 LAKE POTOMAC TER
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1222
Practice Address - Country:US
Practice Address - Phone:301-983-5482
Practice Address - Fax:301-983-4731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026228207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty