1528163433 NPI number — DR. CAROL PAULA SCHWARTZ PH.D., LLC

Table of content: DR. CAROL PAULA SCHWARTZ PH.D., LLC (NPI 1528163433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528163433 NPI number — DR. CAROL PAULA SCHWARTZ PH.D., LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
CAROL
Provider Middle Name:
PAULA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., LLC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KRENTZEL
Provider Other First Name:
CAROL
Provider Other Middle Name:
PAULA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1528163433
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 WORCESTER RD STE 501
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01702-5316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-764-6574
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
223 WALNUT STREET
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
FRAMINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01702-7500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-872-8208
Provider Business Practice Location Address Fax Number:
978-440-9455
Provider Enumeration Date:
09/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  4488 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com