Provider Demographics
NPI:1033206586
Name:HOLZMAN, MARC JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JAY
Last Name:HOLZMAN
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 1:2021 K ST NW
Mailing Address - Street 2:SUITE 416
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1003
Mailing Address - Country:US
Mailing Address - Phone:202-296-1333
Mailing Address - Fax:202-296-9357
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE 416
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-296-1333
Practice Address - Fax:202-296-9357
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD14016207W00000X
MDD0029586207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC10420614OtherCAQH
DCB392-0001OtherBLUE CROSS BLUE SHIELD
DC10420614OtherCAQH
DC011565Medicare ID - Type Unspecified