MEDICARE: CHELTEN MEDICAL CENTER

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	207Q00000X	Family Medicine Physician	OS006642L	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	:	1669556411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELTEN MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2135 E CHELTEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2534
Country	:	US
Telephone Number	:	215-424-5365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 E CHELTEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2534
Country	:	US
Telephone Number	:	215-424-5365
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. GARY R SALZMAN
Credential	:	D.O.
Telephone Number	:	215-424-5365

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	02/18/2009

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Directions to “CHELTEN MEDICAL CENTER ” Practice Location

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