Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D0060237 | MD |
NPI | 1073510343 |
---|---|
Provider Name | Dr. Heather R. Schwartzbauer |
First Address | Olney, MD 20832-1504 |
Second Address | Olney, MD 20832-1504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 01/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0763-0006 | BCDC (01) | DC |
2107931 | UNITED/MAMSI/ALLIANCE (01) | MD |
3291412 | AETNA US HEALTHCARE (01) | MD |
402381100 | (05) | MD |
627876-01 | BCBS MD (01) | MD |
681763 | NCPPO (01) | |
9239646 | CIGNA (01) | |
H88010 | (02) | MD |