Provider Demographics
NPI:1912950734
Name:LAWRENCE S DEUTSCH MD & ASSOC PC
Entity type:Organization
Organization Name:LAWRENCE S DEUTSCH MD & ASSOC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:215-632-5437
Mailing Address - Street 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-632-5437
Mailing Address - Fax:215-824-4114
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 215
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-632-5437
Practice Address - Fax:215-824-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty