Individual
JESSE ROSS KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61264257
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1015523
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
10/09/2023
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