Individual
DR. JEFFREY DAVID KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1126 N CHURCH ST, STE300, GREENSBORO, NC 27401-1000
(336) 547-1752
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 851-8427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22130
NC
207RC0000X
Cardiovascular Disease Physician
Primary
22130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26239
MEDCOST
NC
01
—
4099250
AETNA
NC
01
—
47819
BCBS NC
NC
01
—
625
PARTNERS MEDICARE
NC
05
—
8947819
—
NC
Enumeration date
04/14/2006
Last updated
09/03/2013
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