Provider Demographics
NPI:1093149502
Name:SCHWARTZ, LISA JOY (DO)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JOY
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:64 OTTAWA RD S
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1247
Mailing Address - Country:US
Mailing Address - Phone:732-972-3362
Mailing Address - Fax:732-536-0394
Practice Address - Street 1:64 OTTAWA RD S
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1247
Practice Address - Country:US
Practice Address - Phone:732-972-3362
Practice Address - Fax:732-536-0394
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA052864002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology