Healthcare Provider Details

I. General information

NPI: 1245214626
Provider Name (Legal Business Name): ALAN JEFFREY KATZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 INDUSTRIAL PARK RD
TAUNTON MA
02780-7393
US

IV. Provider business mailing address

101 INDUSTRIAL PARK RD
TAUNTON MA
02780-7393
US

V. Phone/Fax

Practice location:
  • Phone: 508-880-3121
  • Fax: 508-880-0926
Mailing address:
  • Phone: 508-880-3121
  • Fax: 508-880-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number80984
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: