Basic Information
Provider Information
NPI: 1972899425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORWITZ
FirstName: STEVEN
MiddleName: MANKOWITZ
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 ROBERT WOOD JOHNSON PL
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011928
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 ROBERT WOOD JOHNSON PL
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011928
CountryCode: US
TelephoneNumber: 7322357887
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2011
LastUpdateDate: 03/20/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X261910NYN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0203X25MA09541800NJY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

No ID Information.


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