MEDICARE: JEFFREY IVAN KATZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	MA031806	NJ

General Provider Information

NPI Number	:	1831195320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY IVAN KATZ MD

Provider Business Mailing Address
First Line	:	315 E NORTHFIELD RD
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-4896
Country	:	US
Telephone Number	:	973-436-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 E NORTHFIELD RD
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-4896
Country	:	US
Telephone Number	:	973-436-1070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/06/2020

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