Provider Demographics
NPI:1306826904
Name:DEUTSCH, HERBERT JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:JAMES
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1101 KINGS HWY N
Mailing Address - Street 2:SUITE 306
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-667-3700
Mailing Address - Fax:856-667-5192
Practice Address - Street 1:1101 KINGS HWY N
Practice Address - Street 2:SUITE 306
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1912
Practice Address - Country:US
Practice Address - Phone:856-667-3700
Practice Address - Fax:856-667-5192
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ000MA20638207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0157708Medicaid
C53689Medicare UPIN
017030Medicare PIN