Provider Demographics
NPI:1780620195
Name:SCHWARTZ, DANIEL L (PA)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9764
Mailing Address - Country:US
Mailing Address - Phone:413-584-4040
Mailing Address - Fax:413-582-3169
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-5300
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:413-582-3169
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA603363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM15170OtherBCBS
MAAP0159Medicare UPIN