Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 25 MA061205 | NJ |
N | 208000000X | Pediatrician | 25 MA06120500 | NJ |
NPI | 1659403061 |
---|---|
Provider Name | Dr. Maria D Schwab |
First Address | Newark, NJ 07103-2757 |
Second Address | Newark, NJ 07103-2757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 27/01/2022 |