Healthcare Provider Details

I. General information

NPI: 1528224193
Provider Name (Legal Business Name): DANIEL B. HORTON MD, MSCE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

IV. Provider business mailing address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-4980
  • Fax: 732-235-5002
Mailing address:
  • Phone: 732-235-4980
  • Fax: 732-235-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT193017
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC10004871
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA09880700
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number25MA09880700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: