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NPI Code Detail

MEDICARE: PHILIP J. HORN M.D.

MEDICARE:   PHILIP J. HORN  M.D.
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
1207VC0200XCritical Care Medicine (Obstetrics & Gynecology) PhysicianMD033348EPA

Other Identifiers

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

General Provider Information

NPI Number : 1518060748
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP J. HORN M.D.
Provider Business Mailing Address
First Line : 101 E OLNEY AVE
Second Line : STE 400
City : PHILADELPHIA
State : PA
Zip : 19120-2470
Country : US
Telephone Number : 215-456-1825
Fax Number : 215-456-5926
Provider Business Practice Location Address
First Line : 1 PENN BLVD
Second Line : SUITE 100
City : PHILADELPHIA
State : PA
Zip : 19144-1476
Country : US
Telephone Number : 215-844-8570
Fax Number : 215-456-7052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 08/04/2020

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