Brian C Deutsch
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1114504792
StatusActive
Last updated in NPPESMar 28, 2021
Details
- NPI
- 1114504792
- Entity type
- Individual (NPI-1)
- Name
- Brian C Deutsch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2021
- Certification date
- Mar 26, 2021
- Last updated
- Mar 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
75 Francis StBoston, MA 02115-6110
Phone 617-732-5500
Mailing address
11530 Willowood CtMoorpark, CA 93021-2428
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