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Individual

PAUL M KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
251 BOHEMIA AVE, CECILTON, MD 21913-0000
(410) 275-8157
(877) 433-6830
Mailing address
PO BOX 669, CECILTON, MD 21913-0669
(410) 275-8156
(877) 433-6830

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0056426
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080171527
MEDICARE RAILROAD
MD
Enumeration date
03/16/2006
Last updated
12/07/2015
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