Provider Demographics
NPI:1699782763
Name:SCHWARTZ, MARY T (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:260 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2192
Mailing Address - Country:US
Mailing Address - Phone:978-499-7200
Mailing Address - Fax:978-499-7288
Practice Address - Street 1:260 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2192
Practice Address - Country:US
Practice Address - Phone:978-499-7200
Practice Address - Fax:978-499-7288
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-10-20
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Provider Licenses
StateLicense IDTaxonomies
MA154489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0016316OtherNEIGHBORHOOD HEALTH PLAN
MAJ18116OtherBLUE CROSS BLUE SHIELD
MAJ18116OtherHMO BLUE
MA04-70672OtherEVERCARE
MA1699782763OtherAETNA NON HMO
MA5912592OtherAETNA HMO
NH30010845OtherNH MEDICAID
MA110058921AOtherMASSHEALTH
MA154489OtherTUFTS HEALTH PLAN
MA960661-01OtherNETWORK HEALTH
MA3170764Medicaid
MA695032OtherHARVARD PILGRIM HEALTH CARE
MA7446813OtherCIGNA
NH1699782763OtherANTHEM BS
MA1699782763OtherFALLON COMMUNITY HEALTH PLAN
MAJ18116OtherHMO BLUE
MA1699782763OtherFALLON COMMUNITY HEALTH PLAN