Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D0036786 | MD |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | D0036786 | MD |
NPI | 1013954213 |
---|---|
Provider Name | Dr. Jeffrey P Katz |
First Address | Columbia, MD 21044-6070 |
Second Address | Halethorpe, MD 21227-3553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 08/01/2022 |