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General NPI Number Information
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NPI Number | 1730342817
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Entity Type | Individual
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Provider Name | MICHAEL SOLOMON KATZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 2067 WINERIDGE PL STE A
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City | ESCONDIDO
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State | CA
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Zip | 92029-1952
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Country | US
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Telephone | 917-744-0879
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SEYMOUR ST DEPARTMENT OF SURGERY
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City | HARTFORD
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State | CT
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Zip | 06106-3315
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Country | US
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Telephone | 917-744-0879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD434170
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 52468
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License Number State | CT
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