Provider Demographics
NPI:1003984261
Name:KATZ, RICHARD BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BARRY
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SAINT GEORGE PL
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4024
Mailing Address - Country:US
Mailing Address - Phone:561-626-3555
Mailing Address - Fax:561-625-3344
Practice Address - Street 1:75 SAINT GEORGE PL
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4024
Practice Address - Country:US
Practice Address - Phone:561-626-3555
Practice Address - Fax:561-625-3344
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 33853208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology