Provider Demographics
NPI:1346270477
Name:KATZMAN, JEFFREY I (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:I
Last Name:KATZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:901 E 8TH AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1354
Mailing Address - Country:US
Mailing Address - Phone:610-265-1188
Mailing Address - Fax:610-265-3157
Practice Address - Street 1:901 E 8TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1354
Practice Address - Country:US
Practice Address - Phone:610-265-1188
Practice Address - Fax:610-265-3157
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD020116E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA022234RK6Medicare PIN
B33463Medicare UPIN