Healthcare Provider Details

I. General information

NPI: 1801859699
Provider Name (Legal Business Name): HELEN R. DEITCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 S QUEEN ST SUITE 130
YORK PA
17403-4829
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-1990
  • Fax: 717-848-5540
Mailing address:
  • Phone: 717-851-1990
  • Fax: 717-848-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD421617
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD421617
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: