Healthcare Provider Details

I. General information

NPI: 1235103409
Provider Name (Legal Business Name): GARY SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 WEST GERMANTOWN PIKE STE 120 MEDICAL ARTS BUILDING
EAST NORRITON PA
19403
US

IV. Provider business mailing address

207 N BROAD ST 3RD FLR.
PHILADELPHIA PA
19107-1500
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-1370
  • Fax: 610-279-1372
Mailing address:
  • Phone: 267-479-4142
  • Fax: 215-463-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD030057E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: