Individual
DR. STEVEN J DEUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3174
(330) 572-3836
Mailing address
1413 GOLDEN GATE BLVD, SUITE 250, MAYFIELD HTS, OH 44124-3420
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35058335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358754
INDIVIDUAL ANTHEM ID #
OH
05
—
0774881
—
OH
01
—
P00204158
INDIVIDUAL RR MEDICARE #
OH
Enumeration date
07/07/2006
Last updated
03/21/2019
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