Provider Demographics
NPI:1861555773
Name:SCHWEITZER, MARVIN P (ND)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:P
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WESTPORT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-3914
Mailing Address - Country:US
Mailing Address - Phone:203-847-2788
Mailing Address - Fax:203-847-2739
Practice Address - Street 1:1 WESTPORT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-3914
Practice Address - Country:US
Practice Address - Phone:203-847-2788
Practice Address - Fax:203-847-2739
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000088175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath