Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA05609200 | NJ |
N | 2080A0000X | Adolescent Medicine | 25MA05609200 | NJ |
NPI | 1124011903 |
---|---|
Provider Name | Andrea G Katz |
First Address | Warren, NJ 07059-5751 |
Second Address | Warren, NJ 07059-5751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 10/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0331009015 | CIGNA PIN (01) | NJ |
0639558000 | AMERIHEALTH HMO PIN (01) | NJ |
1034551 | HORIZON NJ HEALTH, WARREN (01) | NJ |
1082296 | HORIZON NJ HEALTH, FANWOO (01) | NJ |
12446 | UNIVERSITY HEALTH PLAN (01) | NJ |
1K3092 | HEALTHNET ID NUMBER (01) | NJ |
47H052 | EMPIRE HEALTH PLAN PIN (01) | NJ |
503382 | AETNA HMO PIN (01) | NJ |
5149509 | (05) | NJ |
735547 | AMERIHEALTH PPO PIN (01) | NJ |
TS106 | OXFORD PIN (01) | NJ |