Individual
STEVEN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
104 EAST CENTRAL AVE., AVIS, PA 17721-0430
(570) 753-8077
(570) 753-5489
Mailing address
PO BOX 430, AVIS, PA 17721-0430
(570) 753-8077
(570) 753-5489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS003250L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006795690002
—
PA
01
—
158643
BLUE SHIELD
PA
01
—
20053759
RAILROAD MEDICARE
PA
01
—
4256987
AETNA
PA
01
—
76590-6514
GEISINGER HEALTH PLAN
PA
01
—
815984
FIRST PRIORITY HEALTH
PA
Enumeration date
10/24/2006
Last updated
07/08/2007
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