Provider Demographics
NPI:1366584039
Name:SCHWARTZ, IRA (MD PHD)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 RIGHTERS MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1428
Mailing Address - Country:US
Mailing Address - Phone:610-617-7230
Mailing Address - Fax:610-617-9120
Practice Address - Street 1:723 RIGHTERS MILL ROAD
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1428
Practice Address - Country:US
Practice Address - Phone:610-617-7230
Practice Address - Fax:610-617-9120
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021365E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology