Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MB056775 | NJ |
N | 207KA0200X | Allergist | OS8719 | FL |
NPI | 1538184858 |
---|---|
Provider Name | Lawrence A Schwartz |
First Address | Somers Point, NJ 08244-2172 |
Second Address | Somers Point, NJ 08244-2172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 16/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G08903 | (02) | NJ |