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Dr. Jonathan S. Deitch, MD
Vascular Surgery Physician in Fort Worth, Texas
NPI 1679551469

Jonathan S. Deitch is a Vascular Surgery Physician based in Fort Worth, TX and is specialized in Vascular Surgery. Jonathan S. Deitch practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Jonathan S. Deitch is 1679551469 and holds a License No. 194966-1 (Texas).

The current practice location address for Jonathan S. Deitch is 1325 Pennsylvania Ave Ste 680, Fort Worth, TX and can be reached out via phone at 817-250-4235. You can also correspond with Jonathan S. Deitch through the mailing address at 1325 PENNSYLVANIA AVE STE 680, FORT WORTH, TX - 76104-2133 (mailing address contact number: 817-250-4235).

Location: 1325 Pennsylvania Ave Ste 680, Fort Worth, TX, 76104-2133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679551469
Provider Name
Jonathan S. Deitch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1325 Pennsylvania Ave Ste 680, Fort Worth, TX, 76104-2133
Phone Number
817-250-4235
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01921764 05 NY
institution
Provider Business Practice Location Address Details
Address
1325 Pennsylvania Ave Ste 680
City
Fort Worth
State
Texas
Zip
76104-2133
Phone Number
817-250-4235
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Pennsylvania Ave Ste 680
City
Fort Worth
State
Texas
Zip
76104-2133
Phone Number
817-250-4235
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
194966-1 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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