Provider Demographics
NPI:1497940589
Name:DAVID A SCHWARTZ
Entity Type:Organization
Organization Name:DAVID A SCHWARTZ
Other - Org Name:DAVID A SCHWARTZ DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-760-1222
Mailing Address - Street 1:203 HOSPITAL DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6904
Mailing Address - Country:US
Mailing Address - Phone:410-760-1222
Mailing Address - Fax:410-761-8668
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:SUITE 302
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-760-1222
Practice Address - Fax:410-761-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0017744207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCJ2298OtherRAILROAD MEDICARE
MDCJ2298OtherRAILROAD MEDICARE
MDD73860Medicare UPIN