Individual
JESSICA E HORVATH - MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 EGG HARBOR RD, BUILDING 600, SUITE 604, SEWELL, NJ 08080-9406
(856) 232-6471
(856) 232-7028
Mailing address
123 EGG HARBOR RD, BUILDING 600, SUITE 604, SEWELL, NJ 08080-9406
(856) 232-6471
(856) 232-7028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C1-0007638
DE
207Q00000X
Family Medicine Physician
Primary
MA08529400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000041384
—
DE
01
—
162440
MEDICARE GROUP NUMBER
DE
01
—
25MA08529400
STATE LICENSE
NJ
Enumeration date
11/30/2006
Last updated
04/25/2016
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