Healthcare Provider Details

I. General information

NPI: 1063444859
Provider Name (Legal Business Name): JEFFREY D. HOROWITZ, M.D., L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 OLD EMMORTON RD SUITE 111
BEL AIR MD
21015-6129
US

IV. Provider business mailing address

10845 PHILADELPHIA RD
WHITE MARSH MD
21162-1717
US

V. Phone/Fax

Practice location:
  • Phone: 410-741-3440
  • Fax:
Mailing address:
  • Phone: 410-335-0008
  • Fax: 410-335-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY D. HOROWITZ
Title or Position: PRESIDENT
Credential:
Phone: 410-741-3440