Provider Demographics
NPI:1952335218
Name:SCHWARTZMAN, NANCY L (MD)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:SCHWARTZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S ELISEO DR
Mailing Address - Street 2:#106
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2017
Mailing Address - Country:US
Mailing Address - Phone:415-461-8828
Mailing Address - Fax:415-461-3772
Practice Address - Street 1:1100 S ELISEO DR
Practice Address - Street 2:#106
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2017
Practice Address - Country:US
Practice Address - Phone:415-461-8828
Practice Address - Fax:415-461-3772
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics