Healthcare Provider Details

I. General information

NPI: 1427034826
Provider Name (Legal Business Name): ERICA SCHWARTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SECOND ST SW CG HQ - COMDT (CG-1122)
WASHINGTON DC
20593-0002
US

IV. Provider business mailing address

7707 WISCONSIN AVE APARTMENT #216
BETHESDA MD
20814-6534
US

V. Phone/Fax

Practice location:
  • Phone: 202-267-0845
  • Fax:
Mailing address:
  • Phone: 301-654-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0101233040
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: