| Paul H Deutsch Md Rph Llc | |
|
86 New London Tpke Norwich CT 06360-2616 | |
| (860) 889-6967 | |
| (860) 885-1033 |
| Full Name | Paul H Deutsch Md Rph Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 86 New London Tpke, Norwich, Connecticut |
| Authorized Official Name and Position | Paul H Deutsch (OWNER/PRESIDENT) |
| Authorized Official Contact | 8608896967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul H Deutsch Md Rph Llc 86 New London Tpke Norwich CT 06360-2616 Ph: (860) 889-6967 | Paul H Deutsch Md Rph Llc 86 New London Tpke Norwich CT 06360-2616 Ph: (860) 889-6967 |
| NPI Number | 1861688327 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 9234260043 |
|---|---|
| Medicare Enrollment ID | O20100623000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861688327 | NPI | - | NPPES |
| C02532 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25700 (Connecticut) | Primary |
| Provider Name | Paul Deutsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811990013 PECOS PAC ID: 1850422668 Enrollment ID: I20100623000231 |
| Provider Name | Kayla St Amour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205330610 PECOS PAC ID: 9234493032 Enrollment ID: I20210809003140 |
| Provider Name | Kristen Elizabeth Church-reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730885765 PECOS PAC ID: 2466817465 Enrollment ID: I20230426002005 |
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