Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 80984 | MA |
NPI | 1245214626 |
---|---|
Provider Name | Alan Jeffrey Katz |
First Address | North Dartmouth, MA 02747-3322 |
Second Address | North Dartmouth, MA 02747-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3147363 | (05) | MA |
F86447 | (02) |