Provider Demographics
NPI:1245211705
Name:SWARTZ, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 PALMER AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1088
Mailing Address - Country:US
Mailing Address - Phone:732-671-3313
Mailing Address - Fax:732-671-8513
Practice Address - Street 1:999 PALMER AVE STE 1
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1088
Practice Address - Country:US
Practice Address - Phone:732-671-3313
Practice Address - Fax:732-671-8513
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA045869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC54418Medicare UPIN
NJ439556CUHMedicare ID - Type Unspecified