MEDICARE: DR. EUGENE 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	2083P0901X	Public Health & General Preventive Medicine Physician	42068	MA

General Provider Information

NPI Number	:	1295848448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE SCHWARTZ MD

Provider Business Mailing Address
First Line	:	4 SYCAMORE KNLS
Second Line	:
City	:	SOUTH HADLEY
State	:	MA
Zip	:	01075-1114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 SYCAMORE KNLS
Second Line	:
City	:	SOUTH HADLEY
State	:	MA
Zip	:	01075-1114
Country	:	US
Telephone Number	:	413-540-0557
Fax Number	:

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	01/31/2011

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