Healthcare Provider Details

I. General information

NPI: 1306826904
Provider Name (Legal Business Name): HERBERT JAMES DEUTSCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 03/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 KINGS HWY N SUITE 306
CHERRY HILL NJ
08034-1912
US

IV. Provider business mailing address

1101 KINGS HWY N SUITE 306
CHERRY HILL NJ
08034
US

V. Phone/Fax

Practice location:
  • Phone: 856-667-3700
  • Fax: 856-667-5192
Mailing address:
  • Phone: 856-667-3700
  • Fax: 856-667-5192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number000MA20638
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: