Healthcare Provider Details

I. General information

NPI: 1730902990
Provider Name (Legal Business Name): STEVEN GELTZER PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MOUNTAINVIEW BLVD FL 3
BASKING RIDGE NJ
07920-3444
US

IV. Provider business mailing address

87 TERRACE AVE
WEST ORANGE NJ
07052-3654
US

V. Phone/Fax

Practice location:
  • Phone: 908-952-3550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03749800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: