Provider Demographics
NPI:1811991565
Name:SCHWARTZ, ERIC T (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:T
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BEISER BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7791
Mailing Address - Country:US
Mailing Address - Phone:302-730-0840
Mailing Address - Fax:302-730-3006
Practice Address - Street 1:230 BEISER BLVD
Practice Address - Street 2:STE 100
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7791
Practice Address - Country:US
Practice Address - Phone:302-730-0840
Practice Address - Fax:302-730-3006
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004912207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000762501Medicaid
DEG41670Medicare UPIN
DEG10469F01Medicare PIN