MEDICARE: DR. ALAN JAY MELTZER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD015378E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164427894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN JAY MELTZER MD

Provider Business Mailing Address
First Line	:	2110 SPRUCE ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19103-6596
Country	:	US
Telephone Number	:	215-537-4900
Fax Number	:	215-546-9518

Provider Business Practice Location Address
First Line	:	2110 SPRUCE ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19103-6596
Country	:	US
Telephone Number	:	215-537-4900
Fax Number	:	215-546-9518

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/18/2008

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