Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD042767E | PA |
NPI | 1104983089 |
---|---|
Provider Name | Dr. Susan F Schwartz |
First Address | Cabot, PA 16023-1256 |
Second Address | Sarver, PA 16055-8513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7190570 | (05) | PA |
D73863 | (02) | PA |