Provider Demographics
NPI:1528237591
Name:GAYLE S. SCHWARTZ, MD & ASSOCIATES, PA
Entity type:Organization
Organization Name:GAYLE S. SCHWARTZ, MD & ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-308-4900
Mailing Address - Street 1:1920 GREENSPRING DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4110
Mailing Address - Country:US
Mailing Address - Phone:410-308-4900
Mailing Address - Fax:410-308-4960
Practice Address - Street 1:1920 GREENSPRING DR
Practice Address - Street 2:SUITE 125
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4110
Practice Address - Country:US
Practice Address - Phone:410-308-4900
Practice Address - Fax:410-308-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD549451600Medicaid
MD549451600Medicaid