Provider Demographics
NPI:1922010446
Name:HORVATH PLASTIC & COSMETIC SURGERY CENTER PC
Entity Type:Organization
Organization Name:HORVATH PLASTIC & COSMETIC SURGERY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ADDIS
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-884-2880
Mailing Address - Street 1:1245 HIGHLAND AVE
Mailing Address - Street 2:SUITE G-05
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-884-2880
Mailing Address - Fax:215-885-9768
Practice Address - Street 1:1245 HIGHLAND AVE
Practice Address - Street 2:SUITE G-05
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-884-2880
Practice Address - Fax:215-885-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048967L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G73055Medicare UPIN