Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 28503 | MD |
Y | 213ES0000X | Sports Medicine | 28503 | MD |
NPI | 1083387674 |
---|---|
Provider Name | Maya Alexandra Schwartz |
First Address | Columbia, MD 21044-4905 |
Second Address | Hanover, MD 21076-3211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2021 |
Last Update Date | 28/09/2021 |