Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | R-9744 | IA |
Y | 2080P0201X | Pediatric Allergist | 35.132133 | OH |
NPI | 1518305416 |
---|---|
Provider Name | Dr. Justin Todd Schwartz |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 20/06/2019 |