Healthcare Provider Details
I. General information
NPI: 1841284940
Provider Name (Legal Business Name): ANNE C SCHWARTZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2005
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6845 ELM ST
MC LEAN VA
22101-6007
US
IV. Provider business mailing address
6845 ELM ST SUITE 611
MC LEAN VA
22101-6007
US
V. Phone/Fax
- Phone: 703-356-6880
- Fax: 703-893-7336
- Phone: 703-356-6880
- Fax: 703-893-7336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 0101037116 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: