Individual
DR. MICHAEL J DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
601 RTE 37 W, TOMS RIVER, NJ 08755-8050
(732) 244-4400
(732) 505-2171
Mailing address
601 RTE 37 W, TOMS RIVER, NJ 08755-8050
(732) 244-4400
(732) 505-2171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00409400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012600
—
NJ
01
—
410019838
RAILROAD MEDICARE
NJ
Enumeration date
03/01/2006
Last updated
04/28/2017
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