Provider Demographics
NPI:1790866895
Name:KATZ, ARTHUR M (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 KENNEDY BLVD
Mailing Address - Street 2:2ND FL
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-653-5555
Mailing Address - Fax:201-963-9202
Practice Address - Street 1:2954 KENNEDY BLVD
Practice Address - Street 2:2ND FL
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306
Practice Address - Country:US
Practice Address - Phone:201-653-5555
Practice Address - Fax:201-963-9202
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA29970207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD98828Medicare UPIN
NJKA605105Medicare ID - Type Unspecified