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Individual

JENNIFER S. SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2000 POST RD STE 101, FAIRFIELD, CT 06824-5730
(203) 418-9520
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(877) 925-3637

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35122903
OH
208600000X
Surgery Physician
Primary
66665
CT
208600000X
Surgery Physician
D85746
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102540
OH
01
P01420853
RAILROAD MEDICARE
OH
Enumeration date
06/16/2009
Last updated
09/02/2020
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