MEDICARE: DR. NICHOLAS A KATZEN 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	207RG0100X	Gastroenterology Physician	80404	MA
2	207RG0100X	Gastroenterology Physician	MD054623L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50085124	OTHER	PA	CAPITAL BLUE CROSS
2	1870265	OTHER	PA	HIGHMARK BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932146982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS A KATZEN MD

Provider Business Mailing Address
First Line	:	PO BOX 525
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-0525
Country	:	US
Telephone Number	:	610-933-8000
Fax Number	:	610-917-9281

Provider Business Practice Location Address
First Line	:	420 W LINFIELD TRAPPE RD
Second Line	:	BLDG B
City	:	LIMERICK
State	:	PA
Zip	:	19468-4278
Country	:	US
Telephone Number	:	484-938-4030
Fax Number	:	484-938-4040

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/12/2016

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