Healthcare Provider Details
I. General information
NPI: 1447281027
Provider Name (Legal Business Name): RICHARD HART KATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1744 GREENSBURG AVE
NORTH VERSAILLES PA
15137-1668
US
IV. Provider business mailing address
1744 GREENSBURG AVE
NORTH VERSAILLES PA
15137-1668
US
V. Phone/Fax
- Phone: 412-825-8000
- Fax: 412-824-9307
- Phone: 412-825-8000
- Fax: 412-824-9307
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD067626-L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: