Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 0101024745 | VA |
Y | 207RR0500X | Rheumatology | 0101024745 | VA |
NPI | 1417997735 |
---|---|
Provider Name | Harvey Schwartz |
First Address | Alexandria, VA 22304-3418 |
Second Address | Alexandria, VA 22304-3418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5875340 | (05) | VA |
C88315 | (02) |