Individual
MARLENE SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING, WILLIMANTIC, CT 06226-2045
(860) 456-7279
(860) 450-0269
Mailing address
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING, WILLIMANTIC, CT 06226-2045
(860) 456-7279
(860) 450-0269
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
037545
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003892829
NPI
CT
Enumeration date
12/22/2005
Last updated
12/17/2009
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