MEDICARE: ERIC DAVID 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	2085R0202X	Diagnostic Radiology Physician	234504	MA
2	2085N0700X	Neuroradiology Physician	MD068700L	PA
3	2085N0700X	Neuroradiology Physician	234504	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528093580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC DAVID SCHWARTZ MD

Provider Business Mailing Address
First Line	:	960 MASSACHUSETTS AVENUE
Second Line	:	FL 2
City	:	BOSTON
State	:	MA
Zip	:	02118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	736 CAMBRIDGE ST
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135
Country	:	US
Telephone Number	:	617-789-2762
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/08/2026

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