MEDICARE: DR. MITCHELL L. HOROWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	175344	NY
2	207RP1001X	Pulmonary Disease Physician	175344	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316922883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL L. HOROWITZ MD

Provider Business Mailing Address
First Line	:	21 OTTOWA ROAD NORTH
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751
Country	:	US
Telephone Number	:	732-915-0217
Fax Number	:	732-970-4445

Provider Business Practice Location Address
First Line	:	21 OTTOWA ROAD NORTH
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751
Country	:	US
Telephone Number	:	732-915-0217
Fax Number	:	732-970-4445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	02/16/2016

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