Healthcare Provider Details

I. General information

NPI: 1518925486
Provider Name (Legal Business Name): GAIL F SCHWARTZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST #302
BALTIMORE MD
21204
US

IV. Provider business mailing address

6565 N CHARLES ST #302
BALTIMORE MD
21204
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 Number
License Number State

VIII. Authorized Official

Name: GAIL F SCHWARTZ
Title or Position: OWNER PRES
Credential: MD
Phone: 410-825-9225