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Individual

FREDERICK GERARD DEUTCSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
4 NEWTON AVE, NORWICH, NY 13815-1153
(607) 337-4111
Mailing address
4 NEWTON AVE, NORWICH, NY 13815-1153
(607) 337-4111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001474
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01778087
NY
Enumeration date
10/03/2006
Last updated
10/22/2012
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