Individual
MARSHALL S KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, HARVARD VANGUARD MEDICAL ASSOCIATES, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Mailing address
133 BROOKLINE AVE, HARVARD VANGUARD MEDICAL ASSOCIATES, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
035987
CT
207RC0000X
Cardiovascular Disease Physician
Primary
78156
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359878
—
CT
05
—
110058992A
—
MA
Enumeration date
06/24/2005
Last updated
09/23/2011
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