Provider Demographics
NPI:1346819240
Name:BENNETT K SCHWARTZ MD LLC
Entity Type:Organization
Organization Name:BENNETT K SCHWARTZ MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENNETT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-772-2221
Mailing Address - Street 1:2301 E EVESHAM RD STE 403
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4505
Mailing Address - Country:US
Mailing Address - Phone:856-772-2221
Mailing Address - Fax:856-772-0936
Practice Address - Street 1:2301 E EVESHAM RD STE 403
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4505
Practice Address - Country:US
Practice Address - Phone:856-772-2221
Practice Address - Fax:856-772-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty