Provider Demographics
NPI:1740213669
Name:SCHWARTZ, PETER (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
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 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:
Practice Address - Street 1:2546B KNIGHTS RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3407
Practice Address - Country:US
Practice Address - Phone:215-633-8397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020468E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA065205OtherKEYSTONE PERSONAL CHOICE
PA002203000OtherKEYSTONE MCO
0417057001OtherBCBS PA HIGHMARK KEYSTONE
0417057000OtherBCBS PERSONAL CHOICE
065205OtherHIGHMARK BCBS
0409465OtherEVERCARE
PA0409471OtherEVERCARE
PASE1562914OtherBCBS
PA002203000OtherKEYSTONE MCO
0409465OtherEVERCARE
PAC28725Medicare UPIN
065205OtherHIGHMARK BCBS