MEDICARE: LAWRENCE S DEUTSCH MD & ASSOC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1912950734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE S DEUTSCH MD & ASSOC PC

Provider Business Mailing Address
First Line	:	3998 RED LION RD
Second Line	:	SUITE 215
City	:	PHILA
State	:	PA
Zip	:	19114
Country	:	US
Telephone Number	:	215-632-5437
Fax Number	:	215-824-4114

Provider Business Practice Location Address
First Line	:	3998 RED LION RD
Second Line	:	SUITE 215
City	:	PHILA
State	:	PA
Zip	:	19114
Country	:	US
Telephone Number	:	215-632-5437
Fax Number	:	215-824-4114

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. PATRICIA OBRIEN
Credential	:	RN BSN
Telephone Number	:	215-632-5437

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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