Basic Information
Provider Information
NPI: 1104229392
EntityType: 2
ReplacementNPI:  
OrganizationName: SCHWEIGER DERMATOLOGY, PC
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Mailing Information
Address1: 2701 QUEENS PLZ N FL 10
Address2:  
City: LONG ISLAND CITY
State: NY
PostalCode: 111014022
CountryCode: US
TelephoneNumber: 2122833000
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Practice Location
Address1: 420 FRONT ST
Address2:  
City: ELMER
State: NJ
PostalCode: 083182177
CountryCode: US
TelephoneNumber: 9738780850
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Other Information
ProviderEnumerationDate: 10/01/2014
LastUpdateDate: 10/27/2021
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AuthorizedOfficialLastName: SCHWEIGER
AuthorizedOfficialFirstName: ERIC
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2122833000
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate: 10/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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