Basic Information
Provider Information
NPI: 1467550145
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWEIGER
FirstName: MARC
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 CHESTNUT ST
Address2: 2ND FLOOR
City: SPRINGFIELD
State: MA
PostalCode: 011991619
CountryCode: US
TelephoneNumber: 4137945700
FaxNumber:  
Practice Location
Address1: 3300 MAIN ST
Address2: 2ND FLOOR SUITE A
City: SPRINGFIELD
State: MA
PostalCode: 011991619
CountryCode: US
TelephoneNumber: 4137947246
FaxNumber: 4137947131
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 12/26/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X79077MAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X79077MAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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