Individual
JACQUELINE SCHWANWEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Mailing address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
56278
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000349600
AMERICHOICE
—
01
—
0517210000
AMERIHEALTH
—
01
—
1075744
HORIZON MERCY
—
01
—
1K9393
HEALTH NET
—
01
—
4292540
AETNA
—
05
—
5335440
—
NJ
01
—
5710573
GHI
—
01
—
58790
AMERIGROUP
—
01
—
725761
WELLCHOICE
—
01
—
9630757005
CIGNA
—
01
—
P2008499
OXFORD
—
Enumeration date
10/03/2005
Last updated
01/30/2024
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