Jeremy M Katz


Address: 1202 E Sumner St, Hartford, WI 53027-1600
Phone: 2626732220

Jeremy M Katz (NPI# 1104994011, PAC ID# 9537179338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1104994011
PAC ID by PECOS 9537179338
Professional Enrollment ID I20060424000497
Full Name Jeremy M Katz
Address 1202 E Sumner St
Hartford
WI 53027-1600
Phone Number 2626732220
Gender M
Credential CP
Graduation Year 1973
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1202 E Sumner St, Hartford, WI 53027-1600 2626732220

Organization Information

Office Location

Street Address 1202 E SUMNER ST
City HARTFORD
State WI
Zip 53027-1600

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Competitor

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City HARTFORD
Zip Code 53027
Specialty CLINICAL PSYCHOLOGIST
City + Specialty HARTFORD + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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