Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | C10005051 | DE |
NPI | 1013008382 |
---|---|
Provider Name | Dr. Ellen S. Deutsch |
First Address | Atlanta, GA 30384-0001 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 06/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001230041 | (05) | PA |
02053547 | (05) | NY |
0561407 | (05) | IA |
2077381 | (05) | OH |
2501414 | (05) | NJ |
7610282 | (05) | NC |
8011036 | (05) | MD |
E69513 | (02) | |
P8B201196 | (05) | TX |
Q05051 | (05) | SC |