Individual
CAROL ANN BOODY DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1375 RIVER RD, UNIT 1E, EDGEWATER, NJ 07020-1425
(201) 224-3371
(201) 224-3879
Mailing address
1375 RIVER RD, UNIT 1E, EDGEWATER, NJ 07020-1425
(201) 224-3371
(201) 224-3879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400549-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400549-1
NP LICENSE NUMBER
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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