Provider Demographics
NPI:1508955980
Name:ZELTNER, HAROLD THEODORE (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:THEODORE
Last Name:ZELTNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8401 MEDICAL PLAZA DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-8702
Mailing Address - Country:US
Mailing Address - Phone:704-316-6561
Mailing Address - Fax:704-384-1977
Practice Address - Street 1:5301 WILKINSON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5455
Practice Address - Country:US
Practice Address - Phone:704-316-6561
Practice Address - Fax:704-384-1977
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-11-16
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Provider Licenses
StateLicense IDTaxonomies
NY128116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00543182Medicaid
NYB81958Medicare UPIN
NY00543182Medicaid
J400002794Medicare PIN