Provider Demographics
NPI:1689602492
Name:KATZ, DAVID S (MD FACS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD FACS
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-370-5015
Practice Address - Fax:413-370-5796
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA283545208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001253137Medicaid
B38391Medicare UPIN
CT001253137Medicaid