Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD067892L | PA |
N | 2080A0000X | Adolescent Medicine | MD-067892-L | PA |
NPI | 1144298860 |
---|---|
Provider Name | Dr. Barbara Levin Katz |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Laurys Station, PA 18059-1138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1786367 | (05) | PA |
A48525 | (02) | PA |