Provider Demographics
NPI:1710914296
Name:SCHWARTZ, MARCIA F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:F
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 1:2112 DUNDALK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-3714
Mailing Address - Country:US
Mailing Address - Phone:410-284-1133
Mailing Address - Fax:410-284-3371
Practice Address - Street 1:2112 DUNDALK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-3714
Practice Address - Country:US
Practice Address - Phone:410-284-1133
Practice Address - Fax:410-284-3371
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0029913208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD324571300Medicaid
MD324571300Medicaid
MD006N839FMedicare PIN