- Practice location
- 90 Bergen St, Doc 7100, Newark, NJ 07103-2425
- Phone
- 973-972-2400
- Fax
- 973-972-2988
- Last updated
- August 21, 2009
Edwin A. Deitch is a Surgery based in Newark, NJ. Edwin A. Deitch practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Edwin A. Deitch is 1841218088 and holds a License No. 25MA06045100 (NJ). The current practice location address for Edwin A. Deitch is 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2400 and via fax at 973-972-2988.
Provider Profile Details
- NPI Number
- 1841218088
- Provider Name
- Edwin A. Deitch
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Bergen St, Doc 7100, Newark, NJ 07103-2425
- Phone Number
- 973-972-2400
- Fax Number
- 973-972-2988
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2006
- Last Update Date
- August 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Doc 7100
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-2400
- Fax Number
- 973-972-2988
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number (1)
- 25MA06045100
- License State (1)
- NJ
- Taxonomy (1)
- Surgery · 208600000X · Primary
- License Number (2)
- 25MA06045100
- License State (2)
- NJ
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Newark, NJ
View all Surgery providers in Newark →Frequently Asked Questions
What is the NPI number of Edwin A Deitch, MD?
The NPI number of Edwin A Deitch, MD is 1841218088. It was assigned on July 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Edwin A Deitch, MD?
Edwin A Deitch, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA06045100.
Where does Edwin A Deitch, MD practice?
The practice location is 90 Bergen St, Doc 7100, Newark, NJ 07103-2425. The office can be reached at 973-972-2400 (phone) or 973-972-2988 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841218088 directly on the NPPES registry website.