Healthcare Provider Details

I. General information

NPI: 1760806509
Provider Name (Legal Business Name): MR. WILLIAM E HORBATT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 CHAMBERSBRIDGE RD STE 10
BRICK NJ
08723-2805
US

IV. Provider business mailing address

270 CHAMBERSBRIDGE RD STE 10
BRICK NJ
08723-2805
US

V. Phone/Fax

Practice location:
  • Phone: 732-920-2700
  • Fax: 732-477-3527
Mailing address:
  • Phone: 732-920-2700
  • Fax: 732-477-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: