Provider Demographics
NPI:1700997079
Name:SCHWARTZ, MARC LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:LEE
Last Name:SCHWARTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1015 CHESTNUT STREET
Mailing Address - Street 2:SUITE 1518
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4315
Mailing Address - Country:US
Mailing Address - Phone:215-955-8706
Mailing Address - Fax:215-955-8509
Practice Address - Street 1:1015 CHESTNUT STREET
Practice Address - Street 2:SUITE 1518
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4315
Practice Address - Country:US
Practice Address - Phone:215-955-8706
Practice Address - Fax:215-955-8509
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-08-06
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Provider Licenses
StateLicense IDTaxonomies
PAMD022582E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0055163000OtherKEYSTONE HEALTH PLAN
PA427888OtherPA BLUE SHIELD
PA60015054OtherRAILROAD MEDICARE
PA60015054OtherRAILROAD MEDICARE