| John P. Katzenberg | |
|
292 Main St. Groton MA 01450 | |
| (978) 448-6855 | |
| (978) 448-2202 |
| Full Name | John P. Katzenberg |
|---|---|
| Speciality | Internal Medicine |
| Location | 292 Main St., Groton, Massachusetts |
| Authorized Official Name and Position | John P. Katzenberg (OWNER PHYSICIAN) |
| Authorized Official Contact | 9784486855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Katzenberg 292 Main St. Groton MA 01450 Ph: (978) 448-6855 | John P. Katzenberg 292 Main St. Groton MA 01450 Ph: (978) 448-6855 |
| NPI Number | 1689716813 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689716813 | NPI | - | NPPES |
| 6181708 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Jessica Hebert Ot, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 597 Old Dunstable Rd, Groton, MA 01450 Phone: 781-414-9777 |