Provider Demographics
NPI:1194836387
Name:GELLER, STEVEN M (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:GELLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3998 RED LION ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-612-8500
Mailing Address - Fax:215-612-2893
Practice Address - Street 1:3998 RED LION ROAD
Practice Address - Street 2:SUITE 250
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-8500
Practice Address - Fax:215-612-2893
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA050066302207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012357630007Medicaid
PA0012357630007Medicaid
E75008Medicare UPIN