Individual
MARC W DEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 EAST 86TH ST, APT 24F, NEW YORK, NY 10028
(212) 535-3647
Mailing address
444 EAST 86TH ST, APT 24F, NEW YORK, NY 10028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD032429L
PA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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