Katz, Marshall S

Katz, Marshall S is an individual health care provider with primary practice located at 133 Brookline Ave Harvard Vanguard Medical Associates, Boston MA 02215-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Katz, Marshall S can be contacted via phone (617) 421-6050.

Contact Information

Primary practice address
133 Brookline Ave Harvard Vanguard Medical Associates Boston MA 02215-3904
Phone: (617) 421-6050
Fax: (617) 421-6083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 035987 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 78156 Massachusetts

Profile Details

NPI number 1124024013
LBN Legal business name Katz, Marshall S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 23rd, 2011 - about 13 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 1124024013 NPPES
Connecticut MEDICAID 001359878
Connecticut MEDICAID 110058992A

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