Basic Information
| Provider Information | |||||||||
| NPI: | 1114337375 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCHWARCZ FAMILY MEDICINE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 SKIPPACK PIKE | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | BLUE BELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194221741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155421305 | ||||||||
| FaxNumber: | 2156466960 | ||||||||
| Practice Location | |||||||||
| Address1: | 725 SKIPPACK PIKE | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | BLUE BELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194221741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155421305 | ||||||||
| FaxNumber: | 2156466960 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2014 | ||||||||
| LastUpdateDate: | 04/28/2014 | ||||||||
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| AuthorizedOfficialLastName: | SCHWARCZ | ||||||||
| AuthorizedOfficialFirstName: | HARRIET | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2155421305 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.