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Individual
GARY M DEUTSCH
Active
Individual
GARY M DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G38310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G383100
BLUE SHIELD
CA
05
—
00G383100
—
CA
01
—
HD754Z
MEDICARE PROVIDER ID
CA
Enumeration date
09/13/2005
Last updated
09/03/2014
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