Provider Demographics
NPI:1457446734
Name:SCHWARTZ, FREDERIC (DPM)
Entity Type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 COUNTY ST.
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-993-7923
Mailing Address - Fax:508-984-4712
Practice Address - Street 1:386 COUNTY ST.
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-993-7923
Practice Address - Fax:508-984-4712
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1525213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA33022OtherHARVARD PILGRIM
MA001525OtherTUFTS
MA2701015OtherUNITED HEALTH
MAY70639OtherBCBS
MA0335983Medicaid
RI071729OtherBS/RI
MAS008209OtherCHAMPUS
RI401707OtherBLUE CHIP
MA51235OtherCHILDREN'S SECURITY
MAB20423401OtherCIGNA
MA0000022070OtherBOSTON HEALTH NET
MA0544785OtherAETNA
MA0019514OtherNEIGHBORHOOD HEALTH PLAN
MA0000022070OtherBOSTON HEALTH NET
MAB20423401OtherCIGNA