Provider Demographics
NPI:1083688857
Name:MELTZER, ARTHUR H (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:H
Last Name:MELTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BALA AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3213
Mailing Address - Country:US
Mailing Address - Phone:610-283-6175
Mailing Address - Fax:610-225-0281
Practice Address - Street 1:25 BALA AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3213
Practice Address - Country:US
Practice Address - Phone:610-283-6175
Practice Address - Fax:610-225-0281
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05325300174400000X
PAMD041728L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A65192Medicare UPIN
PA601403RAMedicare PIN
601403GT6Medicare ID - Type Unspecified
601403GT6Medicare ID - Type Unspecified