Individual
DR. MARK A DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 QUARRY LAKE DR, #300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-3156
Mailing address
2700 QUARRY LAKE DR, #300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-3156
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
D54458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115507500
—
MD
Enumeration date
05/12/2006
Last updated
02/13/2008
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