Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DS022922L | PA |
N | 1223P0106X | Oral and Maxillofacial Pathology | 9551 | MD |
N | 204E00000X | Oral & Maxillofacial Surgeon | DS022922L | PA |
NPI | 1871575985 |
---|---|
Provider Name | Mr. Paul J Schwartz |
First Address | Pittsburgh, PA 15261 |
Second Address | Pittsburgh, PA 15261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 11/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1035171910001 | (05) | PA |
T59789 | (02) | MD |