Provider Demographics
NPI:1477519080
Name:SCHWARTZ, RONALD A (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:STE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:STE 1001
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-973-9650
Practice Address - Fax:508-973-9655
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA30475207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110039078AMedicaid
MAD2503902Medicare PIN
RI0000029264OtherBLUE SHIELD
MA0403472OtherUNITED HEALTHCARE
MA520766OtherAETNA
MA6155OtherHARVARD PILGRIM
MA110219105OtherRAILROAD MEDICARE
MAB76440Medicare UPIN
MA2080397Medicaid
MA0016210OtherNEIGHBORHOOD HEALTHPLAN
RI104588OtherBLUE CHIP
MA3684744OtherHEALTHSOURCE
MAD25039OtherBLUE SHIELD
MAD25039Medicare ID - Type UnspecifiedMEDICARE
MA030475OtherTUFTS HEALTH PLAN
RIRS12330OtherMEDICAID