Katz, Adena S

Katz, Adena S is an individual health care provider with primary practice located at 265 Westgate Dr , Brockton MA 02301-1817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Katz, Adena S can be contacted via phone (800) 258-4674.

Contact Information

Primary practice address
265 Westgate Dr Brockton MA 02301-1817
Phone: (800) 258-4674
Fax: (508) 897-3198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 202846 Massachusetts

Profile Details

NPI number 1417954520
LBN Legal business name Katz, Adena S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417954520 NPPES
Massachusetts MEDICAID 2005093
Massachusetts Other J26299

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