Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D0079793 | MD |
N | 2086S0102X | Surgical Critical Care | D0079793 | MD |
NPI | 1235332040 |
---|---|
Provider Name | Gary Thomas Schwartzbauer |
First Address | Baltimore, MD 21201-1544 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 06/03/2020 |