Healthcare Provider Details

I. General information

NPI: 1821225152
Provider Name (Legal Business Name): JOSEPH DANIEL SCHWARTZ M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 N GLEBE RD
ARLINGTON VA
22207-4236
US

IV. Provider business mailing address

8081 INNOVATION PARK DR STE 200
FAIRFAX VA
22031-4867
US

V. Phone/Fax

Practice location:
  • Phone: 703-863-0976
  • Fax:
Mailing address:
  • Phone: 517-472-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101248100
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0101248100
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: