Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 275615 | MA |
NPI | 1003209677 |
---|---|
Provider Name | Madeline Schwid |
First Address | Boston, MA 02114-1100 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2015 |
Last Update Date | 03/01/2019 |