Provider Demographics
NPI:1578688727
Name:SCHWARTZ, RONA ADELE (MD)
Entity Type:Individual
Prefix:
First Name:RONA
Middle Name:ADELE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 COLUMBIA ROAD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3697
Mailing Address - Country:US
Mailing Address - Phone:202-328-3717
Mailing Address - Fax:202-588-8101
Practice Address - Street 1:1660 COLUMBIA RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-3697
Practice Address - Country:US
Practice Address - Phone:202-328-3717
Practice Address - Fax:202-588-8101
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC22524700Medicaid
H23961Medicare UPIN