Individual
JESSICA DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE FL CTICU2, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
2238 ELLSWORTH ST UNIT 2, PHILADELPHIA, PA 19146-2812
(724) 961-9202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064114
PA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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