Provider Demographics
NPI:1689933350
Name:STEVEN HORVITZ, D.O., FAMILY MEDICINE, P.C.
Entity Type:Organization
Organization Name:STEVEN HORVITZ, D.O., FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HORVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-231-0590
Mailing Address - Street 1:110 MARTER AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3124
Mailing Address - Country:US
Mailing Address - Phone:856-231-0590
Mailing Address - Fax:856-294-0311
Practice Address - Street 1:110 MARTER AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3124
Practice Address - Country:US
Practice Address - Phone:856-231-0590
Practice Address - Fax:856-294-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06034600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF83862Medicare UPIN