Healthcare Provider Details
I. General information
NPI: 1447431713
Provider Name (Legal Business Name): JENNIFER DIANE SCHWARTZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/15/2007
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 HANOVER ST
FALL RIVER MA
02720-5444
US
IV. Provider business mailing address
200 MILL RD
FAIRHAVEN MA
02719-5252
US
V. Phone/Fax
- Phone: 508-973-8612
- Fax: 508-973-8615
- Phone: 508-973-2000
- Fax: 508-973-2001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RB0002X |
| Taxonomy | Obesity Medicine (Internal Medicine) Physician |
| License Number | 273417 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | 273417 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 273417 |
| License Number State | MA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 18593 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: