Provider Demographics
NPI:1053398461
Name:SCHWARZ, ERIC (DO)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30170
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-7170
Mailing Address - Country:US
Mailing Address - Phone:302-234-5770
Mailing Address - Fax:302-234-5777
Practice Address - Street 1:726 YORKLYN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8744
Practice Address - Country:US
Practice Address - Phone:302-234-5770
Practice Address - Fax:302-234-5777
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20003882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE118308C90Medicare PIN
DE118308F29Medicare PIN
DEF38657Medicare UPIN