Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 25MA07887700 | NJ |
NPI | 1083888770 |
---|---|
Provider Name | Dr. Paul Joseph Schwartz |
First Address | East Hartford, CT 06108-7301 |
Second Address | Hartford, CT 06106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 29/05/2013 |