Individual
DR. THEODORE JACOB KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Mailing address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101268298
VA
Other
Enumeration date
04/05/2017
Last updated
04/23/2021
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