Provider Demographics
NPI:1770721557
Name:DON ELLIOT SCHWARTZ
Entity type:Organization
Organization Name:DON ELLIOT SCHWARTZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-466-7711
Mailing Address - Street 1:3 WASHINGTON CIR NW
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2326
Mailing Address - Country:US
Mailing Address - Phone:202-466-7711
Mailing Address - Fax:202-393-5951
Practice Address - Street 1:3 WASHINGTON CIR NW
Practice Address - Street 2:SUITE 209
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2326
Practice Address - Country:US
Practice Address - Phone:202-466-7711
Practice Address - Fax:202-393-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-01
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD6448261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1060240001Medicare NSC