Provider Demographics
NPI:1235164419
Name:SCHWARTZ, HENRY JESSE CALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JESSE CALVIN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HENRY
Other - Middle Name:JC
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:278 BRIDGEWATER CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-8410
Mailing Address - Country:US
Mailing Address - Phone:540-374-2355
Mailing Address - Fax:
Practice Address - Street 1:278 BRIDGEWATER CIR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-8410
Practice Address - Country:US
Practice Address - Phone:540-374-2355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2014-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12576207R00000X
WI16052-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine