MEDICARE: MINNA SCHWARTZ PA-C

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	2080P0207X	Pediatric Hematology & Oncology Physician	50.006660RX	OH
2	363AM0700X	Medical Physician Assistant	50.006660RX	OH

General Provider Information

NPI Number	:	1265094999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINNA SCHWARTZ PA-C

Provider Business Mailing Address
First Line	:	3631 SHANNON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # R3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1928
Country	:	US
Telephone Number	:	216-444-5437
Fax Number	:

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	05/26/2022

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Directions to “ MINNA SCHWARTZ PA-C” Practice Location

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