Provider Demographics
NPI:1598789778
Name:SCHWEITZER, EUGENE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:JOSEPH
Last Name:SCHWEITZER
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 1:306 W REDWOOD ST FL 4
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1708
Mailing Address - Country:US
Mailing Address - Phone:667-214-1720
Mailing Address - Fax:410-706-6976
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-6897
Practice Address - Fax:410-328-2109
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28397204F00000X
MDD0028397208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000487501Medicaid
MD1700540OtherUNITED HLTHCARE
MD214341OtherKAISER
PA1237884/01Medicaid
MD19115OtherFREESTATE
MD52326303OtherBLUE SHIELD
MD65509OtherGEISINGER
WV0192015000Medicaid
MD112716OtherUS HLTHCARE
MD081661200Medicaid
MD0005OtherCAREFIRST REGIONAL
MD0990290OtherUNITED HLTHCARE NATIONAL
MD217047OtherMDIPA
NJ8798303Medicaid