Provider Demographics
NPI:1073510343
Name:SCHWARTZBAUER, HEATHER R (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:R
Last Name:SCHWARTZBAUER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:STE 224
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1504
Mailing Address - Country:US
Mailing Address - Phone:301-774-0074
Mailing Address - Fax:301-774-0640
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:STE 224
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1504
Practice Address - Country:US
Practice Address - Phone:301-774-0074
Practice Address - Fax:301-774-0640
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2013-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060237207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3291412OtherAETNA US HEALTHCARE
681763OtherNCPPO
MD2107931OtherUNITED/MAMSI/ALLIANCE
MD402381100Medicaid
MD627876-01OtherBCBS MD
DC0763-0006OtherBCDC
9239646OtherCIGNA
MD3291412OtherAETNA US HEALTHCARE