Doctor Name: | DR. BURTON JOEL KATZEN |
NPI Number: | 1407849607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 00317 |
Business Practice Address: | 4302 St Barnabas Rd Temple Hills, MD - 20748 |
Business Phone Number: | 3014239495 |
Business Fax Number: | 3014237960 |
Mailing Address: | 10604 Norton Rd, POTOMAC |
State: | MD |
Postal Code: | 20854 |
Phone Number: | 3014239495 |
Fax Number: | 3014237960 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 00317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |