Provider Demographics
NPI:1003009564
Name:DEUTSCH, FREDERICK ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:ALBERT
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONTRA' CORNOLEO 11
Mailing Address - Street 2:
Mailing Address - City:VICENZA
Mailing Address - State:VICENZA
Mailing Address - Zip Code:36100
Mailing Address - Country:IT
Mailing Address - Phone:348-494-9493
Mailing Address - Fax:
Practice Address - Street 1:STUDIO MEDICO VIALE SAN LAZZARO 102
Practice Address - Street 2:
Practice Address - City:VICENZA
Practice Address - State:VICENZA
Practice Address - Zip Code:36100
Practice Address - Country:IT
Practice Address - Phone:348-494-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095429-1171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor