MEDICARE: EDWARD SCHWARTZ M.D.

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	207Q00000X	Family Medicine Physician	24358	AZ

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

General Provider Information

NPI Number	:	1679510606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	5891 W EUGIE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85304-1252
Country	:	US
Telephone Number	:	602-588-6725
Fax Number	:	602-588-6906

Provider Business Practice Location Address
First Line	:	5891 W/ EUGIE AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85304-2506
Country	:	US
Telephone Number	:	602-588-6703
Fax Number	:	602-588-6906

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	11/13/2014

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