Provider Demographics
NPI:1174743660
Name:SCHWARTZ, HOWARD NEIL (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:NEIL
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 1:404 BRUNN SCHOOL RD
Mailing Address - Street 2:BUILDING C
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1102
Mailing Address - Country:US
Mailing Address - Phone:505-982-0072
Mailing Address - Fax:505-982-0869
Practice Address - Street 1:404 BRUNN SCHOOL ROAD
Practice Address - Street 2:BUILDING C
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2612
Practice Address - Country:US
Practice Address - Phone:505-982-0072
Practice Address - Fax:505-982-0869
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2003-0494207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMB2032Medicare PIN
NYB78733Medicare UPIN