Provider Demographics
NPI:1083693394
Name:GELTZEILER, JULES M (MD)
Entity Type:Individual
Prefix:
First Name:JULES
Middle Name:M
Last Name:GELTZEILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 INDUSTRIAL WAY E STE 101
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3332
Mailing Address - Country:US
Mailing Address - Phone:732-963-0901
Mailing Address - Fax:732-963-9092
Practice Address - Street 1:10 INDUSTRIAL WAY E
Practice Address - Street 2:SUITE 101
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3332
Practice Address - Country:US
Practice Address - Phone:732-963-9091
Practice Address - Fax:732-963-9092
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN74529208800000X
NJ25MA03839700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1657305Medicaid
NJ451393AGVMedicare PIN
NJ1657305Medicaid
NJ340004304Medicare PIN