Provider Demographics
NPI:1215009402
Name:RICHARD P SCHWARTZ MD PC
Entity Type:Organization
Organization Name:RICHARD P SCHWARTZ MD PC
Other - Org Name:NASHOBA GASTROENTEROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-772-7500
Mailing Address - Street 1:190 GROTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432
Mailing Address - Country:US
Mailing Address - Phone:978-772-7500
Mailing Address - Fax:978-772-5300
Practice Address - Street 1:190 GROTON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432
Practice Address - Country:US
Practice Address - Phone:978-772-7500
Practice Address - Fax:978-772-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B33510Medicare ID - Type Unspecified
B73002Medicare UPIN