Individual
DR. MARC ROBERT KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101033557
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
AL40396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101033557
MEDICAL LICENSE
VA
05
—
7400616
—
VA
Enumeration date
07/20/2006
Last updated
03/07/2023
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