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NPI Code Detail

MEDICARE: DR. MARK SCHWAGER M.D.

MEDICARE: DR. MARK SCHWAGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician06946RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710939426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK SCHWAGER M.D.
Provider Business Mailing Address
First Line : 10 WOODLAND DR
Second Line :
City : COVENTRY
State : RI
Zip : 02816-6716
Country : US
Telephone Number : 401-524-2344
Fax Number : 610-347-4968
Provider Business Practice Location Address
First Line : 10 WOODLAND DR
Second Line :
City : COVENTRY
State : RI
Zip : 02816-6716
Country : US
Telephone Number : 401-524-2344
Fax Number : 610-347-4968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 05/19/2020

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