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Individual
DR. ANDREW IRA SCHWARTZ
Active
Individual
DR. ANDREW IRA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A 10017
MEDICAL LICENSE
CA
01
—
5101016693
MEDICAL LICENSE
MI
01
—
5315025405
CONTROLLED SUBSTANCE #
MI
05
—
FHC71031F
—
CA
01
—
OS 10051
MEDICAL LICENSE
FL
01
—
W1508E
PTAN, BV362YZ AND BV362Y,
CA
Enumeration date
06/13/2006
Last updated
11/14/2023
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