Deutsch, Larry

Deutsch, Larry is an individual health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deutsch, Larry can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 021505 Connecticut

Profile Details

NPI number 1710031844
LBN Legal business name Deutsch, Larry
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 15th, 2015 - about 10 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 1710031844 NPPES
Connecticut MEDICAID 001215052

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