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Contact Information

EDWIN A DEITCH, MD
90 BERGEN ST
DOC 7100
NEWARK, NJ07103-2425
 Phone: 973-972-2400
 Fax: 973-972-2988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWIN A DEITCH · (Male)

NPI Number 1841218088
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 08/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06045100
  • NJ Medicaid 6188508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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