Individual
JONATHAN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1209 YORK RD, LUTHERVILLE, MD 21093-6220
(410) 821-9490
Mailing address
1209 YORK RD, LUTHERVILLE, MD 21093-6220
(410) 821-9490
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0086742
MD
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
D0086742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80000
GA STATE LICENSE
GA
01
—
D0086742
MD STATE LICENSE
MD
Enumeration date
04/06/2014
Last updated
03/02/2020
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