Basic Information
| Provider Information | |||||||||
| NPI: | 1447526710 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BETH SCHWARTZ MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10101 COLESVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209012426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017540101 | ||||||||
| FaxNumber: | 3017540103 | ||||||||
| Practice Location | |||||||||
| Address1: | 10101 COLESVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209012426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017540101 | ||||||||
| FaxNumber: | 3017540103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2012 | ||||||||
| LastUpdateDate: | 03/30/2012 | ||||||||
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| AuthorizedOfficialLastName: | SCHWARTZ | ||||||||
| AuthorizedOfficialFirstName: | BETH | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3017540101 | ||||||||
| IsSoleProprietor: | |||||||||
| 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 | 207W00000X | D0061756 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.