Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS008891L | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS008891L | PA |
NPI | 1093796930 |
---|---|
Provider Name | Todd D Schwartz |
First Address | Huntingdon Valley, PA 19006-6357 |
Second Address | Huntingdon Valley, PA 19006-6357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H20320 | (02) |