Provider Demographics
NPI:1881621779
Name:SCHWARTZ, PAIGE (DO)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:M
Other - Last Name:ROTHBARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13700-1365
Mailing Address - Street 2:C/O PHELPS MEMORIAL HOSPITAL EMERGENCY PHYSICIANS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-1365
Mailing Address - Country:US
Mailing Address - Phone:800-666-2455
Mailing Address - Fax:610-660-9384
Practice Address - Street 1:701 NORTH BROADWAY
Practice Address - Street 2:PHELPS MEMORIAL HOSPITAL
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-366-1554
Practice Address - Fax:610-660-9384
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223680207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H74161Medicare UPIN
NY768V11Medicare ID - Type Unspecified