Individual
DR. LESLIE J KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 WALNUT ST, SUITE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Mailing address
840 WALNUT ST, SUITE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD030697E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011495850002
—
PA
01
—
0081307000
KEYSTONE EAST
PA
01
—
1007523
KEYSTONE MERCY
PA
01
—
1859536013
CIGNA
PA
01
—
2370351
AETNA NJ
NJ
01
—
3651908
MEDICAID
NJ
01
—
99388
AETNA HMO
PA
Enumeration date
06/09/2006
Last updated
01/24/2019
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