Provider Demographics
NPI:1144298860
Name:KATZ, BARBARA LEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LEVIN
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:5649 WYNNEWOOD DR
Practice Address - Street 2:SUITE 104
Practice Address - City:LAURYS STATION
Practice Address - State:PA
Practice Address - Zip Code:18059-1138
Practice Address - Country:US
Practice Address - Phone:610-262-6641
Practice Address - Fax:610-262-0428
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-067892-L2080A0000X
PAMD067892L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1786367Medicaid
PA1786367Medicaid