Provider Demographics
NPI:1477594752
Name:SCHWARZ, ADAM JULES (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JULES
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LYME RD
Mailing Address - Street 2:SUITE 104 - HANOVER CONTINUITY CLINIC
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1219
Mailing Address - Country:US
Mailing Address - Phone:603-643-3320
Mailing Address - Fax:603-643-3301
Practice Address - Street 1:45 LYME RD
Practice Address - Street 2:SUITE 104 - HANOVER CONTINUITY CLINIC
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1219
Practice Address - Country:US
Practice Address - Phone:603-643-3320
Practice Address - Fax:603-643-3301
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10169207R00000X
VT420011112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010550Medicaid
VT420011112OtherLICENCE NUMBER
NH10169OtherLICENCE NUMBER
VT0RE4590Medicaid
NH10169OtherLICENCE NUMBER