Healthcare Provider Details

I. General information

NPI: 1063481745
Provider Name (Legal Business Name): MICHAEL J SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW SUITE T-110
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

5550 FRIENDSHIP BLVD T-90
CHEVY CHASE MD
20815-7256
US

V. Phone/Fax

Practice location:
  • Phone: 202-296-3449
  • Fax: 202-296-9122
Mailing address:
  • Phone: 301-654-2521
  • Fax: 301-654-2986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0025144
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: