Healthcare Provider Details

I. General information

NPI: 1497723399
Provider Name (Legal Business Name): ELI JOHN HUROWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S STE 200
BIRMINGHAM AL
35205-1248
US

IV. Provider business mailing address

2700 10TH AVE S STE 200
BIRMINGHAM AL
35205-1248
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-7838
  • Fax: 205-933-0951
Mailing address:
  • Phone: 205-933-7838
  • Fax: 205-933-0951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number22809
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22809
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: