Healthcare Provider Details

I. General information

NPI: 1235044041
Provider Name (Legal Business Name): HOSNI E MYATT-KNOX
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MUNRO AVE
CAPE MAY NJ
08204-5000
US

IV. Provider business mailing address

11 S 14TH ST
DARBY PA
19023-1207
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-6611
  • Fax:
Mailing address:
  • Phone: 267-407-7114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: