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NPI Code Detail

MEDICARE: EDWIN HORWITZ MD

MEDICARE: EDWIN HORWITZ 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
12080P0207XPediatric Hematology & Oncology Physician80217GA

General Provider Information

NPI Number : 1831192947
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIN HORWITZ MD
Provider Business Mailing Address
First Line : 1405 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1060
Country : US
Telephone Number : 404-785-1112
Fax Number : 404-785-6288
Provider Business Practice Location Address
First Line : 1405 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1060
Country : US
Telephone Number : 404-785-1112
Fax Number : 404-785-6288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/06/2022

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Directions to “ EDWIN HORWITZ MD” Practice Location

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