Provider Demographics
NPI:1053392662
Name:SCHWARTZ, JOSEPH H (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
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 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1795
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-878-2650
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1795
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-878-2650
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71940208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA2549OtherHVD PILGRIM HEALTH CARE
MAJ04812OtherBCBS
MA4269097OtherAETNA
MA3586408OtherCIGNA
MA6199089Medicaid
MA712491OtherSECURE HORIZONS
MA0015834OtherNEIGHBORHOOD HLTH PLAN
MA26498OtherFALLON
MA3586408OtherCIGNA
MA712491OtherSECURE HORIZONS