Basic Information
| Provider Information | |||||||||
| NPI: | 1467820902 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZBAUM | ||||||||
| FirstName: | AMY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1003 W 7TH ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012456300 | ||||||||
| FaxNumber: | 3016822539 | ||||||||
| Practice Location | |||||||||
| Address1: | 1003 W 7TH ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012456300 | ||||||||
| FaxNumber: | 3016822539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2015 | ||||||||
| LastUpdateDate: | 08/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | C05901 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.