Organization
EASTERN SHORE GYNECOLOGY, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HENRY KATZ MD (OWNER)
(410) 822-1221
Entity
Organization
Contact information
Practice address
598 CYNWOOD DR # 105, EASTON, MD 21601-3805
(410) 822-1221
(410) 819-8149
Mailing address
598 CYNWOOD DR # 105, EASTON, MD 21601-3805
(410) 822-1221
(410) 819-8149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0025475
MD
207VG0400X
Gynecology Physician
Primary
D0056997
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093862641
GROUP NPI
MD
01
—
1255339875
INDIVIDUAL NPI
—
01
—
1679571293
INDIVIDUAL NPI
MD
01
—
1841395605
INDIVIDUAL NPI
MD
Enumeration date
01/05/2007
Last updated
07/09/2012
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