Provider Demographics
NPI:1356300560
Name:LEONARD-SCHWARTZ, PAULA ANN (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:LEONARD-SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 WEBSTER ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2552
Mailing Address - Country:US
Mailing Address - Phone:603-622-6491
Mailing Address - Fax:603-625-2080
Practice Address - Street 1:57 WEBSTER ST
Practice Address - Street 2:SUITE 110
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2552
Practice Address - Country:US
Practice Address - Phone:603-622-6491
Practice Address - Fax:603-625-2080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81080952Medicaid
NHLE-NH0952Medicare ID - Type Unspecified
NH81080952Medicaid