Healthcare Provider Details

I. General information

NPI: 1356457857
Provider Name (Legal Business Name): LEE ASHER SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 GRANDVIEW DR
MARTINEZ CA
94553-1313
US

IV. Provider business mailing address

925 GRANDVIEW DR SUITE 210
MARTINEZ CA
94553-1313
US

V. Phone/Fax

Practice location:
  • Phone: 925-768-8659
  • Fax:
Mailing address:
  • Phone: 924-768-8659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG269600
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD60482539
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: