Healthcare Provider Details

I. General information

NPI: 1255431086
Provider Name (Legal Business Name): ANDREW L. SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

770 KAPIOLANI BLVD #705
HONOLULU HI
96813-5212
US

V. Phone/Fax

Practice location:
  • Phone: 808-597-8791
  • Fax: 808-597-8781
Mailing address:
  • Phone: 808-597-8781
  • Fax: 808-597-8781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD3633
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: