Provider Demographics
NPI:1841207222
Name:MELTZER, AARON (DPM)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:MELTZER
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 1:1460 N CAMINO ALTO
Mailing Address - Street 2:SUITE 206
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2567
Mailing Address - Country:US
Mailing Address - Phone:707-644-4049
Mailing Address - Fax:707-644-4687
Practice Address - Street 1:1460 N CAMINO ALTO
Practice Address - Street 2:SUITE 206
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2567
Practice Address - Country:US
Practice Address - Phone:707-644-4049
Practice Address - Fax:707-644-4687
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1525213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT10989Medicare UPIN
CA000E15250Medicare ID - Type Unspecified