Provider Demographics
NPI:1215912738
Name:HAROLD HORWITZ MD AND JOSEPH LOMBARDOZZI
Entity type:Organization
Organization Name:HAROLD HORWITZ MD AND JOSEPH LOMBARDOZZI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR.
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NASTARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-351-2280
Mailing Address - Street 1:407 EAST AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5299
Mailing Address - Country:US
Mailing Address - Phone:401-351-2280
Mailing Address - Fax:401-453-0161
Practice Address - Street 1:407 EAST AVE.
Practice Address - Street 2:SUITE 250
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5299
Practice Address - Country:US
Practice Address - Phone:401-351-2280
Practice Address - Fax:401-453-0161
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD HORWITZ, M.D. & JOSEPH LOMBARDOZZI, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-07
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9002594Medicaid
RI669002594Medicare ID - Type Unspecified