Provider Demographics
NPI:1609032382
Name:MEADE, ELIZA SCHWARTZ (MD)
Entity Type:Individual
Prefix:MISS
First Name:ELIZA
Middle Name:SCHWARTZ
Last Name:MEADE
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 1:26 CITY HALL MALL
Mailing Address - Street 2:OB/GYN
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4754
Mailing Address - Country:US
Mailing Address - Phone:781-306-5304
Mailing Address - Fax:781-306-5227
Practice Address - Street 1:26 CITY HALL MALL
Practice Address - Street 2:OB/GYN
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4754
Practice Address - Country:US
Practice Address - Phone:781-306-5304
Practice Address - Fax:781-306-5227
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125051183207V00000X
MA243128207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110086635AMedicaid
MA001790901Medicare PIN