| Jeffrey H. Katz, M.d., L.l.c. | |
|
595 Main St Manchester CT 06040-5160 | |
| (860) 646-1000 | |
| (860) 645-1120 |
| Full Name | Jeffrey H. Katz, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 595 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Jeffrey Howard Katz (OWNER) |
| Authorized Official Contact | 8606461000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey H. Katz, M.d., L.l.c. 595 Main St Manchester CT 06040-5160 Ph: (860) 646-1000 | Jeffrey H. Katz, M.d., L.l.c. 595 Main St Manchester CT 06040-5160 Ph: (860) 646-1000 |
| NPI Number | 1053614677 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/28/2010 |
| Medicare PECOS PAC ID | 1850570524 |
|---|---|
| Medicare Enrollment ID | O20110127000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053614677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 029236 (Connecticut) | Primary |
| Provider Name | Jeffrey Howard Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780651745 PECOS PAC ID: 6305025073 Enrollment ID: I20110127000028 |
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