Provider Demographics
NPI:1528598364
Name:SCHWABER, ERIC
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:SCHWABER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 COMMERCE PARK
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3535
Mailing Address - Country:US
Mailing Address - Phone:203-878-3531
Mailing Address - Fax:866-284-6188
Practice Address - Street 1:40 COMMERCE PARK
Practice Address - Street 2:SUITE 1
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3535
Practice Address - Country:US
Practice Address - Phone:203-878-3531
Practice Address - Fax:866-284-6188
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine