Healthcare Provider Details

I. General information

NPI: 1508868175
Provider Name (Legal Business Name): PETER A. SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6TH AVE AND SPRUCE ST
W. READING PA
19611
US

IV. Provider business mailing address

PO BOX 16052
READING PA
19612-6052
US

V. Phone/Fax

Practice location:
  • Phone: 610-988-8827
  • Fax: 610-988-4242
Mailing address:
  • Phone: 610-988-4655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD037199E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: