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Individual
MATTHEW ALAN HORNICK
Active
Individual
MATTHEW ALAN HORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
66486
CT
2086S0120X
Pediatric Surgery Physician
Primary
66486
CT
390200000X
Student in an Organized Health Care Education/Training Program
MT199358
PA
Other
Enumeration date
05/12/2011
Last updated
09/14/2020
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