Healthcare Provider Details

I. General information

NPI: 1295853125
Provider Name (Legal Business Name): HORIZON AMDC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W LANDIS AVE
VINELAND NJ
08360-8143
US

IV. Provider business mailing address

88 W UPPER FERRY RD
WEST TRENTON NJ
08628-2716
US

V. Phone/Fax

Practice location:
  • Phone: 856-507-1911
  • Fax: 856-507-9979
Mailing address:
  • Phone: 609-883-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. SIMONE L GALLETTA
Title or Position: PRESIDENT
Credential:
Phone: 856-507-1911