Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 222788 | NY |
Y | 2086X0206X | Surgical Oncologist | MD12954 | RI |
NPI | 1275793044 |
---|---|
Provider Name | Dr. Steven C Katz |
First Address | Providence, RI 02908-4325 |
Second Address | Providence, RI 02908-4325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2008 |
Last Update Date | 17/06/2009 |