Provider Demographics
NPI:1467438259
Name:SCHWARTZ, ANDREW ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROBERT
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 1:301 LIPPINCOTT DR
Mailing Address - Street 2:SUITE#410
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-840-4534
Mailing Address - Fax:856-234-4640
Practice Address - Street 1:301 LIPPINCOTT DR
Practice Address - Street 2:SUITE#410
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4197
Practice Address - Country:US
Practice Address - Phone:856-840-4534
Practice Address - Fax:856-234-4640
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02868600207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0862801Medicaid
NJ10313OtherUSHC
NJD06301Medicare UPIN
NJ135866CPPMedicare PIN