Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0S007744L | PA |
NPI | 1124005046 |
---|---|
Provider Name | Melissa N Schwartz |
First Address | Elkins Park, PA 19027-2239 |
Second Address | Elkins Park, PA 19027-2239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 20/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016237190002 | (05) | PA |
G32282 | (02) |