| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GLORIA B DEUTSCH | 1982347191 | 2022-07-30 |
Gloria B Deutsch is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982347191. Registration indicates Gloria B Deutsch is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist, ) (Podiatry, ) (Podiatrist, Podiatric Medicine & Surgery Service Providers)
| Entity Type | Individual |
| Provider Name | Gloria B Deutsch DPM |
| Practice Office Address | 613 W PARK AVE APT B LIBERTYVILLE, IL US |
| Practice Office Telephone | 6303913447 |
| Mailing Address | 111 MACDADE BLVD APT A10 FOLSOM, PA 190332917 US |
| Business Telephone | 6303913447 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 213E00000X PRIMARY | Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist Podiatry Podiatrist Podiatric Medicine & Surgery Service Providers | SC007303
PA |