Healthcare Provider Details

I. General information

NPI: 1558100503
Provider Name (Legal Business Name): EHUD ZELTZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HOSPITAL RD STE 3200
INDIANA PA
15701-3662
US

IV. Provider business mailing address

1 HENRY ADAMS ST UNIT N310
SAN FRANCISCO CA
94103-5243
US

V. Phone/Fax

Practice location:
  • Phone: 724-464-2771
  • Fax: 724-464-0274
Mailing address:
  • Phone: 628-946-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberMD485438
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD485438
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: