MEDICARE: HARRY A KATZ-POLLAK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	76142	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831172774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY A KATZ-POLLAK MD

Provider Business Mailing Address
First Line	:	312 BEDFORD ST
Second Line	:
City	:	WHITMAN
State	:	MA
Zip	:	02382-1859
Country	:	US
Telephone Number	:	781-792-6000
Fax Number	:	781-792-6165

Provider Business Practice Location Address
First Line	:	312 BEDFORD STREET
Second Line	:
City	:	WHITMAN
State	:	MA
Zip	:	02382-0000
Country	:	US
Telephone Number	:	781-792-6000
Fax Number	:	781-792-6165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	09/22/2011

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