Provider Demographics
NPI:1144291212
Name:SCHWARTZ, PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 NEWPORT GAP PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-6208
Mailing Address - Country:US
Mailing Address - Phone:302-633-5840
Mailing Address - Fax:302-633-5844
Practice Address - Street 1:1902 N SCOTT ST
Practice Address - Street 2:RHEUMATOLOGY CONSULTANTS
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-2358
Practice Address - Country:US
Practice Address - Phone:302-655-0121
Practice Address - Fax:302-655-4993
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006185207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001092601Medicaid
DEG81360OtherBCBS OF DE
DE0001092601Medicaid
DE006608R89Medicare ID - Type Unspecified