Deitch, Edwin A.

Deitch, Edwin A. is an individual health care provider with primary practice located at 90 Bergen St Doc 7100, Newark NJ 07103-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Deitch, Edwin A. can be contacted via phone (973) 972-2400.

Contact Information

Primary practice address
90 Bergen St Doc 7100 Newark NJ 07103-2425
Phone: (973) 972-2400
Fax: (973) 972-2988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA06045100 New Jersey
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 25MA06045100 New Jersey

Profile Details

NPI number 1841218088
LBN Legal business name Deitch, Edwin A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841218088 NPPES
New Jersey MEDICAID 6188508

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