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Individual

DR. EVAN R DEUTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5401 OLD YORK RD, KLEIN SUITE 101, PHILADELPHIA, PA 19141-3030
(215) 456-6178
(215) 456-6204
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
226548
NY
2086S0129X
Vascular Surgery Physician
226548
NY
2086S0129X
Vascular Surgery Physician
Primary
MD449363
PA

Other

Enumeration date
05/23/2007
Last updated
11/05/2013
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