Healthcare Provider Details

I. General information

NPI: 1205837887
Provider Name (Legal Business Name): PAUL T SCHWERDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 12/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WASHINGTON ST. STE. 220
NORWOOD MA
02062
US

IV. Provider business mailing address

825 WASHINGTON ST. STE. 220
NORWOOD MA
02062
US

V. Phone/Fax

Practice location:
  • Phone: 781-255-0561
  • Fax: 781-255-0681
Mailing address:
  • Phone: 781-255-0561
  • Fax: 781-255-0681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD11417
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number203570
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: