Basic Information
Provider Information
NPI: 1467420851
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARZ-MILLER
FirstName: JAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 475 SOUTH STREET
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 07962
CountryCode: US
TelephoneNumber: 9736603579
FaxNumber: 9736609116
Practice Location
Address1: 100 MADISON AVE
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 079606136
CountryCode: US
TelephoneNumber: 9739715595
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2006
LastUpdateDate: 01/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X25MA05174800NJY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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