Healthcare Provider Details

I. General information

NPI: 1316922883
Provider Name (Legal Business Name): MITCHELL L. HOROWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 OTTOWA ROAD NORTH
MORGANVILLE NJ
07751
US

IV. Provider business mailing address

21 OTTOWA ROAD NORTH
MORGANVILLE NJ
07751
US

V. Phone/Fax

Practice location:
  • Phone: 732-915-0217
  • Fax: 732-970-4445
Mailing address:
  • Phone: 732-915-0217
  • Fax: 732-970-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number175344
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number175344
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: