Basic Information
Provider Information
NPI: 1821225152
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ
FirstName: JOSEPH
MiddleName: DANIEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140 W 11TH ST
Address2:  
City: FRONT ROYAL
State: VA
PostalCode: 226303512
CountryCode: US
TelephoneNumber: 5406313700
FaxNumber:  
Practice Location
Address1: ELECTRONIC ATTACK SQUADRON ONE THREE TWO
Address2: NAVY HOSPITAL OAK HARBOR
City: FPO
State: AA
PostalCode: 98221
CountryCode: US
TelephoneNumber: 3602579923
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2009
LastUpdateDate: 02/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X0101248100VAY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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