Healthcare Provider Details

I. General information

NPI: 1467509299
Provider Name (Legal Business Name): ROBERT NORMAN DEUTSCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 BELFORD DR
WALNUT CREEK CA
94598-3415
US

IV. Provider business mailing address

2415 BELFORD DR
WALNUT CREEK CA
94598-3415
US

V. Phone/Fax

Practice location:
  • Phone: 925-933-6981
  • Fax:
Mailing address:
  • Phone: 925-933-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG14059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: