Individual
PETER S HOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
717 MARKET ST, SUITE 101, LEMOYNE, PA 17043-1581
(717) 731-1133
(717) 635-8385
Mailing address
PO BOX 415, LEMOYNE, PA 17043-0415
(717) 731-1133
(717) 635-8385
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000616
VA
213E00000X
Podiatrist
SC006019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102414841
—
PA
01
—
CG4514
MEDICARE RAILROAD
VA
01
—
P00818686
RAILROAD MEDICARE
PA
Enumeration date
08/26/2005
Last updated
06/08/2010
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