Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D0058217 | MD |
NPI | 1003079047 |
---|---|
Provider Name | Dr. Marcel I. Horowitz |
First Address | Baltimore, MD 21217-4202 |
Second Address | Baltimore, MD 21201-4624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 09/07/2008 |