Provider Demographics
NPI:1962443135
Name:KATZ, HOWARD A (DO)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:KATZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9 PROFESSIONAL CIR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2426
Mailing Address - Country:US
Mailing Address - Phone:732-761-8170
Mailing Address - Fax:732-761-8175
Practice Address - Street 1:9 PROFESSIONAL CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2426
Practice Address - Country:US
Practice Address - Phone:732-761-8170
Practice Address - Fax:732-761-8175
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB065913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223792698OtherNJ BLUE CROSS BLUE SHIELD
NJ2666356OtherAETNA
NJ1101844881OtherRAILROAD MEDICARE
NJJ7255OtherHORIZON HMO
NJ7282001Medicaid
NJP1278970OtherOXFORD
NJJ7255OtherHORIZON HMO
NJP1278970OtherOXFORD