Edwin A. Deitch, M.D.

Surgery Physician · Newark, NJ

Individual Active NPI

NPI number 1841218088

Practice location

90 Bergen St
Doc 7100
Newark, NJ 07103-2425
Phone
(973) 972-2400
Fax
(973) 972-2988

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NPI record

NPI
1841218088
Entity type
Individual (Type 1)
Enumeration date
July 17, 2006
Last updated
August 21, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 25MA06045100 NJ
Surgical Critical Care Physician 2086S0102X 25MA06045100 NJ

Mailing address

30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000

About Dr. Deitch

Edwin A. Deitch, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 90 Bergen St, Doc 7100, Newark, NJ 07103-2425. The NPI number 1841218088 was assigned on July 17, 2006 and the record was last updated on August 21, 2009.

Dr. Deitch lists 2 licenses in the registry: #25MA06045100 (NJ) for Surgery Physician; #25MA06045100 (NJ) for Surgical Critical Care Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin A. Deitch, M.D.?

The NPI number is 1841218088.

What is the phone number of Dr. Deitch?

The phone number listed for the practice location is (973) 972-2400.

Where is Dr. Deitch located?

90 Bergen St, Doc 7100, Newark, NJ 07103-2425.

What is the taxonomy code for Dr. Deitch?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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