Individual
KENNETH V SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST FL 1, DERBY, CT 06418-1326
(203) 732-1257
(203) 732-2470
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1256
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
017126
CT
207RC0000X
Cardiovascular Disease Physician
Primary
017126
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001171263
—
CT
Enumeration date
12/19/2006
Last updated
12/02/2020
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