Individual
JAY E. KATZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 N BEAUREGARD STREET, SUITE 100, ALEXANDRIA, VA 22311-1721
(703) 931-9100
(703) 931-3415
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101027407
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689755357
—
VA
05
—
30016739150001
—
VA
Enumeration date
10/18/2006
Last updated
03/19/2024
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