Provider Demographics
NPI:1063550515
Name:SWARTZBERG, JOHN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:SWARTZBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 UNIVERSITY HALL
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA, BERKELEY
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-1191
Mailing Address - Country:US
Mailing Address - Phone:510-643-0499
Mailing Address - Fax:
Practice Address - Street 1:570 UNIVERSITY HALL
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA, BERKELEY
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-1191
Practice Address - Country:US
Practice Address - Phone:510-643-0499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24314207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease