Healthcare Provider Details

I. General information

NPI: 1558469304
Provider Name (Legal Business Name): MOLLY A KATZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 E HOLLISTER STREET
CINCINNATI OH
45219
US

IV. Provider business mailing address

71 E HOLLISTER STREET
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-723-0909
  • Fax: 513-333-3024
Mailing address:
  • Phone: 513-723-0909
  • Fax: 573-333-3024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35045979
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: