Healthcare Provider Details

I. General information

NPI: 1578600979
Provider Name (Legal Business Name): HOTCHKISS AND KATZEN AMBULATORY SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 SAINT BARNABAS RD
TEMPLE HILLS MD
20748-1842
US

IV. Provider business mailing address

4302 SAINT BARNABAS RD
TEMPLE HILLS MD
20748-1842
US

V. Phone/Fax

Practice location:
  • Phone: 301-423-9495
  • Fax: 301-423-7960
Mailing address:
  • Phone: 301-423-9495
  • Fax: 301-423-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberP0002716
License Number StateMD

VIII. Authorized Official

Name: DR. BURTON J KATZEN
Title or Position: PRES.
Credential: DPM
Phone: 301-423-9495