Provider Demographics
NPI:1396868741
Name:SCHWARTZMAN, CARL (CMT)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:SCHWARTZMAN
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9038 LAMBSKIN LANE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2939
Mailing Address - Country:US
Mailing Address - Phone:410-992-9335
Mailing Address - Fax:
Practice Address - Street 1:9038 LAMBSKIN LANE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2939
Practice Address - Country:US
Practice Address - Phone:410-992-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM01261174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist