Provider Demographics
NPI:1588655641
Name:SCHWARTZ, JOEL H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:H
Last Name:SCHWARTZ
Suffix:
Gender:M
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:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:978-882-6060
Mailing Address - Fax:978-882-6070
Practice Address - Street 1:17 CENTENNIAL DR
Practice Address - Street 2:NORTHSHORE CANCER CENTER
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7923
Practice Address - Country:US
Practice Address - Phone:978-977-3434
Practice Address - Fax:978-977-4985
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38102207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B76973Medicare UPIN