Individual
DR. GERALD MARVIN GOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 BROAD ST STE 421, SEWICKLEY, PA 15143-1670
(412) 741-2552
(412) 741-9339
Mailing address
701 BROAD ST, SEWICKLEY, PA 15143-1652
(412) 741-2552
(412) 741-9339
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD-015354-E
PA
207RN0300X
Nephrology Physician
MD-015354-E
PA
Other
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
Enumeration date
05/23/2006
Last updated
04/09/2025
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