Provider Demographics
NPI:1558420190
Name:NEIL RAPOPORT & DAVID GELTZER PTR
Entity Type:Organization
Organization Name:NEIL RAPOPORT & DAVID GELTZER PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-332-2200
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00507920Medicaid
0006111Medicare ID - Type Unspecified
PA00507920Medicaid