Individual
MATTHEW ALAN HORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
(215) 785-2701
Mailing address
130 ORCUTT DR, GUILFORD, CT 06437-2220
(215) 606-8792
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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