Healthcare Provider Details
I. General information
NPI: 1407061450
Provider Name (Legal Business Name): AARON B DEUTSCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2007
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1325 S CONGRESS AVE STE 103
BOYNTON BEACH FL
33426-5802
US
IV. Provider business mailing address
1325 S CONGRESS AVE SUITE 109
BOYNTON BEACH FL
33426-5876
US
V. Phone/Fax
- Phone: 561-364-0200
- Fax: 561-733-2602
- Phone: 561-364-0200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME 98619 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | 98619 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: