Provider Demographics
NPI:1043301724
Name:FIELD, JANE KATZ (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:KATZ
Last Name:FIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BELMONT AVE
Mailing Address - Street 2:JUST SO PEDIATRICS
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6615
Mailing Address - Country:US
Mailing Address - Phone:802-254-2253
Mailing Address - Fax:
Practice Address - Street 1:16 BELMONT AVE
Practice Address - Street 2:JUST SO PEDIATRICS
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6615
Practice Address - Country:US
Practice Address - Phone:802-254-2253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420010689208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010316Medicaid
NH30204082Medicaid