1689609596 NPI number — GALINA ZELTSER M.D.

Table of content: GALINA ZELTSER M.D. (NPI 1689609596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689609596 NPI number — GALINA ZELTSER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZELTSER
Provider First Name:
GALINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689609596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 LOUIS DRIVE SUITE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARMINSTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-957-5400
Provider Business Mailing Address Fax Number:
215-957-5401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 LOUIS DRIVE SUITE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARMINSTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-957-5400
Provider Business Practice Location Address Fax Number:
215-957-5401
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  MD0672076 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0507155000 . This is a "KEYSTONE IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1102647 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1285296 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 720526 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 720526 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 007879132 . This is a "AETNA CONTRACT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01759557-02 . This is a "AMERICHOICE FRANKFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01759557-04 . This is a "AMERICHOICE BUCKS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 250010913 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0017595570003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2601329 . This is a "AETNA CONTRACT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0017595570002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0017595570004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01738 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01759557-03 . This is a "AMERICHOICE TORRESDALE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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