Provider Demographics
NPI:1265936512
Name:SCHWARTZ, NOFRAT (MD)
Entity type:Individual
Prefix:DR
First Name:NOFRAT
Middle Name:
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 1:6 MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1402
Mailing Address - Country:US
Mailing Address - Phone:984-244-3768
Mailing Address - Fax:919-966-7914
Practice Address - Street 1:47 COLLEGE ST STE 216
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3209
Practice Address - Country:US
Practice Address - Phone:203-785-5430
Practice Address - Fax:203-785-3970
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-85453207Y00000X, 208D00000X
CT65606207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice