Provider Demographics
NPI:1295744936
Name:HORWITZ, BRETT R (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:R
Last Name:HORWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BRETT
Other - Middle Name:R
Other - Last Name:HORWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1401 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3426
Mailing Address - Country:US
Mailing Address - Phone:610-275-9400
Mailing Address - Fax:610-275-0652
Practice Address - Street 1:1401 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3426
Practice Address - Country:US
Practice Address - Phone:610-275-9400
Practice Address - Fax:610-275-0652
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033906E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001248313001Medicaid
PA001248313001Medicaid
PAE83716Medicare UPIN