Provider Demographics
NPI:1093796930
Name:SCHWARTZ, TODD D (DO)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:D
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 2ND STREET PIKE STE 120
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3823
Mailing Address - Country:US
Mailing Address - Phone:215-352-2663
Mailing Address - Fax:215-355-7222
Practice Address - Street 1:283 2ND STREET PIKE STE 120
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3823
Practice Address - Country:US
Practice Address - Phone:215-352-2663
Practice Address - Fax:215-355-7222
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008891L207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H20320Medicare UPIN
039518Medicare ID - Type UnspecifiedPA MEDICARE