Healthcare Provider Details

I. General information

NPI: 1144291212
Provider Name (Legal Business Name): PHILIP SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 N SCOTT ST RHEUMATOLOGY CONSULTANTS
WILMINGTON DE
19806-2358
US

IV. Provider business mailing address

1602 NEWPORT GAP PIKE
WILMINGTON DE
19808-6208
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-0121
  • Fax: 302-655-4993
Mailing address:
  • Phone: 302-633-5840
  • Fax: 302-633-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC1-0006185
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: