Provider Demographics
NPI:1881655363
Name:BRITZ, MARIE B (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:B
Last Name:BRITZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2074 FOREST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4811
Mailing Address - Country:US
Mailing Address - Phone:408-294-3200
Mailing Address - Fax:408-294-3202
Practice Address - Street 1:2074 FOREST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4811
Practice Address - Country:US
Practice Address - Phone:408-294-3200
Practice Address - Fax:408-294-3202
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2010-02-04
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Provider Licenses
StateLicense IDTaxonomies
CAG337540207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45668Medicare UPIN