Healthcare Provider Details

I. General information

NPI: 1184619819
Provider Name (Legal Business Name): GAIL FAITH SCHWARTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST SUITE 302
BALTIMORE MD
21204-6800
US

IV. Provider business mailing address

6565 N CHARLES ST SUITE 302
BALTIMORE MD
21204-6800
US

V. Phone/Fax

Practice location:
  • Phone: 410-825-9225
  • Fax: 410-825-9229
Mailing address:
  • Phone: 410-825-9225
  • Fax: 410-825-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number00047525
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: