Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MA05286400 | NJ |
NPI | 1093149502 |
---|---|
Provider Name | Dr. Lisa Joy Schwartz |
First Address | Marlboro, NJ 07746-1247 |
Second Address | Marlboro, NJ 07746-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2013 |
Last Update Date | 03/09/2013 |