Provider Demographics
NPI:1356457857
Name:SCHWARTZ, LEE ASHER (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ASHER
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 GRANDVIEW DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-1313
Mailing Address - Country:US
Mailing Address - Phone:924-768-8659
Mailing Address - Fax:
Practice Address - Street 1:925 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-1313
Practice Address - Country:US
Practice Address - Phone:925-768-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG269600207RH0003X
WAMD60482539207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43159Medicare UPIN