MEDICARE: DR. JUDY SCHWARTZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G61456	CA

General Provider Information

NPI Number	:	1124003173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY SCHWARTZ MD

Provider Business Mailing Address
First Line	:	2999 REGENT ST
Second Line	:	SUITE 512
City	:	BERKELEY
State	:	CA
Zip	:	94705-2146
Country	:	US
Telephone Number	:	510-644-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	2999 REGENT ST
Second Line	:	SUITE 512
City	:	BERKELEY
State	:	CA
Zip	:	94705-2146
Country	:	US
Telephone Number	:	510-644-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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