Provider Demographics
NPI:1811990013
Name:DEUTSCH, PAUL H (MD, RPH)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2616
Mailing Address - Country:US
Mailing Address - Phone:860-889-6967
Mailing Address - Fax:860-885-1033
Practice Address - Street 1:86 NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2616
Practice Address - Country:US
Practice Address - Phone:860-889-6967
Practice Address - Fax:860-889-7113
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT025700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
030043OtherHEALTH NET OF THE NORTHEA
CT001257005Medicaid
NLP011OtherOXFORD HEALTH PLANS
736987OtherCONNECTICARE
01025700OtherCIGNA
00125700500OtherBLUECARE FAMILY PLAN
0443085OtherUNITED HEALTHCARE
4310284OtherAETNA
CT010025700CT01OtherBLUE CROSS/BLUE SHIELD
104604600OtherDEPT OF LABOR
00125700500OtherBLUECARE FAMILY PLAN
736987OtherCONNECTICARE