Provider Demographics
NPI:1508677725
Name:KATZEN MEDICAL ASSOCIATES, PC
Entity type:Organization
Organization Name:KATZEN MEDICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-214-0144
Mailing Address - Street 1:901 DULANEY VALLEY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-0621
Mailing Address - Country:US
Mailing Address - Phone:410-583-1000
Mailing Address - Fax:410-583-4718
Practice Address - Street 1:901 DULANEY VALLEY RD STE 220
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-0621
Practice Address - Country:US
Practice Address - Phone:410-583-1000
Practice Address - Fax:410-583-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty