Provider Demographics
NPI:1497707095
Name:SCHWARTZ, ERIN SIMON (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:SIMON
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:RACH
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-7000
Practice Address - Fax:215-590-9348
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-03-07
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072151L2085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018183800001Medicaid
PABS6434156OtherDEA
PA0018183800001Medicaid
PA045260Medicare ID - Type Unspecified