Healthcare Provider Details

I. General information

NPI: 1326091141
Provider Name (Legal Business Name): DAVID GARY GELTZER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7318 FRANKFORD AVE
PHILADELPHIA PA
19136-3827
US

IV. Provider business mailing address

7318 FRANKFORD AVE
PHILADELPHIA PA
19136-3827
US

V. Phone/Fax

Practice location:
  • Phone: 215-332-2200
  • Fax: 215-332-6123
Mailing address:
  • Phone: 215-332-2200
  • Fax: 215-332-6123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC001855L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP1001946
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC001855L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: