Basic Information
| Provider Information | |||||||||
| NPI: | 1770717969 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORLICK | ||||||||
| FirstName: | NEIL | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1145 19TH ST NW | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200363701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025507104 | ||||||||
| FaxNumber: | 2022969784 | ||||||||
| Practice Location | |||||||||
| Address1: | 1145 19TH ST NW | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200363701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025507104 | ||||||||
| FaxNumber: | 2022969784 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2009 | ||||||||
| LastUpdateDate: | 01/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | D0071903 | MD | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.