Provider Demographics
NPI:1326333840
Name:SCHWARTZ, ELIZABETH ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:444 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1969
Mailing Address - Country:US
Mailing Address - Phone:413-598-7039
Mailing Address - Fax:413-598-7886
Practice Address - Street 1:250 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1834
Practice Address - Country:US
Practice Address - Phone:413-525-5200
Practice Address - Fax:413-525-5700
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2409213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110099649AMedicaid
MA110099649AMedicaid