Provider Demographics
NPI:1255514113
Name:KATZ, MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:KATZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:YAWKEY BUILDING, SUITE 6C
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-2909
Mailing Address - Fax:617-724-0581
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAWKEY BUILDING, SUITE 6C
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2909
Practice Address - Fax:617-724-0581
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2011-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAP-235376.2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology