Healthcare Provider Details

I. General information

NPI: 1124343496
Provider Name (Legal Business Name): ROBERT PHILLIP SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 PARK AVENUE SUITE 103
BALTIMORE MD
21201
US

IV. Provider business mailing address

1040 PARK AVENUE SUITE 103
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-3977
  • Fax:
Mailing address:
  • Phone: 410-837-3977
  • Fax: 410-752-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD38089
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: