Provider Demographics
NPI:1386871465
Name:SCHWARTZ, SHIRA LIPSKY (MD)
Entity type:Individual
Prefix:DR
First Name:SHIRA
Middle Name:LIPSKY
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:SUITE 311
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1513
Mailing Address - Country:US
Mailing Address - Phone:301-774-4100
Mailing Address - Fax:
Practice Address - Street 1:18111 PRINCE PHILIP DRIVE
Practice Address - Street 2:SUITE 311
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1508
Practice Address - Country:US
Practice Address - Phone:301-774-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0073673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics