Individual provider · Type 1 NPI
Jerry Katz, D.P.M.
Foot & Ankle Surgery Podiatrist · Randallstown, MD
NPI number
1790761625
Active
Practice location
5310 Old Court Rd, Suite 302
Randallstown, MD 21133-5243
Mailing address
5310 Old Court Rd Ste 302
Randallstown, MD 21133-5285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1054 (MD) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1790761625
Jerry Katz, D.P.M.'s National Provider Identifier is 1790761625, issued on Dec 22, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Randallstown, MD. The record was last updated on Oct 7, 2019.