# DAVID SCHWINDT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164441101
- **Authorized official:** DAVID SCHWINDT MD (OWNER PROVIDER)
- **Authorized official phone:** 86057200010

## Contact information

- **Practice address:** 23 CLARA DRIVE, SUITE 204, MYSTIC, CT 06355
- **Practice address phone:** (860) 572-0010
- **Practice address fax:** (860) 536-2799
- **Mailing address:** 23 CLARA DRIVE, SUITE 204, MYSTIC, CT 06355
- **Mailing address phone:** (860) 572-0010
- **Mailing address fax:** (860) 536-2799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 0471821 | CT | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | MD11245 | RI | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020