Healthcare Provider Details

I. General information

NPI: 1275039406
Provider Name (Legal Business Name): STEVEN NATHAN SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 S 10TH ST
PHILADELPHIA PA
19107-5244
US

IV. Provider business mailing address

112 S 19TH ST APT 1809
PHILADELPHIA PA
19103-4682
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-6805
  • Fax:
Mailing address:
  • Phone: 201-280-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License NumberMD483448
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: