Provider Demographics
NPI:1992759492
Name:HORSHAM PEDIATRIC ASSOC PC
Entity type:Organization
Organization Name:HORSHAM PEDIATRIC ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-441-9710
Mailing Address - Street 1:405 CAREDEAN DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 CAREDEAN DR
Practice Address - Street 2:SUITE J
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1301
Practice Address - Country:US
Practice Address - Phone:215-441-9710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty