Doctor Name: | LILLIAN KATZ |
NPI Number: | 1679768097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 25MP00124300 |
Business Practice Address: | 2090 Route 27 Pines Plaza Edison, NJ - 088173372 |
Business Phone Number: | 7322876663 |
Business Fax Number: | 7322876664 |
Mailing Address: | 333 Forsgate Dr, JAMESBURG |
State: | NJ |
Postal Code: | 088311567 |
Phone Number: | 7325213131 |
Fax Number: | 7325211116 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MP00124300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |