| Gerald M. Goltz, M.d. & Associates, Pc | |
|
701 Broad St Suite C Sewickley PA 15143-1652 | |
| (412) 741-2552 | |
| (412) 741-9339 |
| Full Name | Gerald M. Goltz, M.d. & Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Broad St, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Marla A Reiter-goltz (CEO) |
| Authorized Official Contact | 4127167793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald M. Goltz, M.d. & Associates, Pc 701 Broad St Suite C Sewickley PA 15143-1652 Ph: (412) 741-2552 | Gerald M. Goltz, M.d. & Associates, Pc 701 Broad St Suite C Sewickley PA 15143-1652 Ph: (412) 741-2552 |
| NPI Number | 1710206842 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Medicare PECOS PAC ID | 3779763610 |
|---|---|
| Medicare Enrollment ID | O20110209000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710206842 | NPI | - | NPPES |
| 00753272 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD015354E (Pennsylvania) | Primary |
| Provider Name | Gerald M Goltz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720033244 PECOS PAC ID: 6406758333 Enrollment ID: I20040122000288 |
| Provider Name | Erin Colleen Mcdonough-mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861860942 PECOS PAC ID: 6800150491 Enrollment ID: I20180508000101 |
| Provider Name | Amy Michelle Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134773195 PECOS PAC ID: 6002228343 Enrollment ID: I20201210001958 |
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