Provider Demographics
NPI:1326091141
Name:GELTZER, DAVID GARY (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GARY
Last Name:GELTZER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7318 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-3827
Mailing Address - Country:US
Mailing Address - Phone:215-332-2200
Mailing Address - Fax:215-332-6123
Practice Address - Street 1:7318 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-3827
Practice Address - Country:US
Practice Address - Phone:215-332-2200
Practice Address - Fax:215-332-6123
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001855L213ES0103X, 213E00000X
PARP1001946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No183500000XPharmacy Service ProvidersPharmacist
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00503420Medicaid
066907D28Medicare ID - Type Unspecified
PAT28111Medicare UPIN