# JACOB KATZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacob Katz MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962179317
- **Authorized official:** DR. JACOB KATZ MD (OWNER)
- **Authorized official phone:** (732) 762-5005

## Contact information

- **Practice address:** 74 US HIGHWAY 9 STE 1, ENGLISHTOWN, NJ 07726-9209
- **Practice address phone:** (732) 762-5005
- **Practice address fax:** (732) 410-4676
- **Mailing address:** 74 US HIGHWAY 9 STE 1B, ENGLISHTOWN, NJ 07726-9209
- **Mailing address phone:** (732) 762-5005
- **Mailing address fax:** (732) 410-4676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 12/11/2024