Provider Demographics
NPI:1780903989
Name:KATZ, ROBERT SHERMAN (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SHERMAN
Last Name:KATZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-3923
Mailing Address - Country:US
Mailing Address - Phone:203-329-8681
Mailing Address - Fax:203-329-0191
Practice Address - Street 1:321 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-3923
Practice Address - Country:US
Practice Address - Phone:203-329-8681
Practice Address - Fax:203-329-0191
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist