Provider Demographics
NPI:1538276647
Name:JEFFREY V SCHWARTZ MD PC
Entity type:Organization
Organization Name:JEFFREY V SCHWARTZ MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:V
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-346-3077
Mailing Address - Street 1:2305 N PARHAM RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3156
Mailing Address - Country:US
Mailing Address - Phone:204-346-3077
Mailing Address - Fax:804-915-2328
Practice Address - Street 1:2305 N PARHAM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3156
Practice Address - Country:US
Practice Address - Phone:204-346-3077
Practice Address - Fax:804-915-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C09333Medicare ID - Type Unspecified