Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35066534 | OH |
NPI | 1043317589 |
---|---|
Provider Name | Steven Schwartz |
First Address | Cleveland, OH 44195-0001 |
Second Address | Concord Twp, OH 44077-9406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 27/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0961062 | (05) | OH |
E45005 | (02) |