Provider Demographics
NPI:1407958481
Name:SCHWEIGER, BRUCE DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:DANIEL
Last Name:SCHWEIGER
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 1:9520 63RD RD
Mailing Address - Street 2:STE J
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1145
Mailing Address - Country:US
Mailing Address - Phone:718-459-1225
Mailing Address - Fax:718-459-5805
Practice Address - Street 1:216 NORTH AVE, EAST
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2158
Practice Address - Country:US
Practice Address - Phone:908-272-7500
Practice Address - Fax:908-272-7502
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA691032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8066001Medicaid
NJ029840Medicare ID - Type Unspecified
NJ8066001Medicaid