Individual
DR. STEVEN DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
130 MAPLE AVENUE, SUITE 3B, RED BANK, NJ 07701
(732) 747-2111
(732) 530-1348
Mailing address
130 MAPLE AVENUE, SUITE 3B, RED BANK, NJ 07701
(732) 747-2111
(732) 530-1348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00103800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3325407
—
NJ
Enumeration date
07/31/2006
Last updated
02/27/2008
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