Provider Demographics
NPI:1710277835
Name:KATZEN, JASON BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:BENJAMIN
Last Name:KATZEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3015 WILLIAMS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4623
Mailing Address - Country:US
Mailing Address - Phone:703-641-9133
Mailing Address - Fax:703-280-5098
Practice Address - Street 1:2141 K ST NW
Practice Address - Street 2:STE 900
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-223-9722
Practice Address - Fax:703-328-0509
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2013-01-18
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Provider Licenses
StateLicense IDTaxonomies
DCMD0379392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology