Healthcare Provider Details

I. General information

NPI: 1700820313
Provider Name (Legal Business Name): LEE EDWARD SCHWAB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOLY CROSS HOSPITAL 1500 FOREST GLEN RD
SILVER SPRING MD
20910-1484
US

IV. Provider business mailing address

9357 COPENHAVER DR
POTOMAC MD
20854-3023
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-7061
  • Fax: 301-754-7154
Mailing address:
  • Phone: 301-762-1115
  • Fax: 301-762-1115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD0022990
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: