Healthcare Provider Details

I. General information

NPI: 1588649743
Provider Name (Legal Business Name): DAVID NEAL SCHWARTZ MD, FACG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 ROOSEVELT HWY STE 132 VERMONT GASTROENTEROLOGY
COLCHESTER VT
05446-4460
US

IV. Provider business mailing address

875 ROOSEVELT HWY STE 132 VERMONT GASTROENTEROLOGY
COLCHESTER VT
05446-4460
US

V. Phone/Fax

Practice location:
  • Phone: 802-864-7483
  • Fax: 802-660-4337
Mailing address:
  • Phone: 802-864-7483
  • Fax: 802-660-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number60366
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number042.0012837
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: