Provider Demographics
NPI:1487093472
Name:SCHWARZ, RACHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:NOORPARVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 715
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1915
Mailing Address - Country:US
Mailing Address - Phone:201-342-1877
Mailing Address - Fax:
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 715
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1915
Practice Address - Country:US
Practice Address - Phone:201-342-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-23
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09932100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine