Provider Demographics
NPI:1306807516
Name:SCHWARTZER, JOSEPH S (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:SCHWARTZER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:NORFOLK COMMUNITY SERVICES BOARD
Mailing Address - Street 2:3755 E. VIRGINIA BEACH BLVD.
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3238
Mailing Address - Country:US
Mailing Address - Phone:757-664-7699
Mailing Address - Fax:757-664-7695
Practice Address - Street 1:NORFOLK COMMUNITY SERVICES BOARD
Practice Address - Street 2:3755 E. VIRGINIA BEACH BLVD.
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3238
Practice Address - Country:US
Practice Address - Phone:757-664-7699
Practice Address - Fax:757-664-7695
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010281772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7171595Medicaid
VA4945565Medicaid
VAB05047Medicare UPIN