Provider Demographics
NPI:1922165141
Name:SWARTZ, MARTHA K (PHD, APRN, CPNP)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:K
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:PHD, APRN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 WOODPOND RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4345
Mailing Address - Country:US
Mailing Address - Phone:203-272-1644
Mailing Address - Fax:
Practice Address - Street 1:789 HOWARD AVE.
Practice Address - Street 2:YALE NEW HAVEN HOSPITAL PEDIATRIC PRIMARY CARE CENTER
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-737-5432
Practice Address - Fax:203-737-5710
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000785363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics