Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 018670 | CT |
Y | 207RX0202X | Medical Oncology | 018670 | CT |
NPI | 1134160146 |
---|---|
Provider Name | Martin E. Katz |
First Address | Woodbridge, CT 06525 |
Second Address | Hamden, CT 06518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 29/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001186909 | (05) | CT |
C65130 | (02) |