Healthcare Provider Details

I. General information

NPI: 1558310268
Provider Name (Legal Business Name): ERIC L SCHWARTZMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 KINGSBOROUGH SQUARE STE 100
CHESAPEAKE VA
23320-5041
US

IV. Provider business mailing address

1134 N ROAD ST STE 9
ELIZABETH CITY NC
27909-3365
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-9294
  • Fax: 757-548-0092
Mailing address:
  • Phone: 252-331-1100
  • Fax: 252-338-9170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101051351
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2021-01664
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101051351
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: