Provider Demographics
NPI:1265696819
Name:DEUTSCH, ALLAN MARK (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:MARK
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7691 BLUE HERON WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-3132
Mailing Address - Country:US
Mailing Address - Phone:561-626-5864
Mailing Address - Fax:561-626-5864
Practice Address - Street 1:7691 BLUE HERON WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-3132
Practice Address - Country:US
Practice Address - Phone:561-626-5864
Practice Address - Fax:561-626-5864
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI039422085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound