# DR. GERALD MARVIN GOLTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720033244
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD-015354-E | PA | Yes |
| 207RN0300X | Nephrology Physician | MD-015354-E | PA | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00753272 | — | PA |
| 01 | — | 091252 | KEYSTONE HEALTH PLAN WEST | PA |
| 01 | — | 23532 | HEALTHAMERICA | PA |
| 01 | — | 73313 | MEDPLUS | PA |