Provider Demographics
NPI:1801925672
Name:SWARTZ, LEE SAUL (DO)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:SAUL
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:503 KNIGHTS PL
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3002
Mailing Address - Country:US
Mailing Address - Phone:856-428-7216
Mailing Address - Fax:215-624-3040
Practice Address - Street 1:6303 TORRESDALE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-3303
Practice Address - Country:US
Practice Address - Phone:215-624-3040
Practice Address - Fax:215-624-3040
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003951L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD98444Medicare UPIN