Provider Demographics
NPI:1699963538
Name:SWARTZ, JILL E (MD)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:E
Last Name:SWARTZ
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 1:229 NEWBURY ST
Mailing Address - Street 2:APT #4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2524
Mailing Address - Country:US
Mailing Address - Phone:781-338-7478
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL ROAD
Practice Address - Street 2:TUFTS FAMILY MEDICINE
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148
Practice Address - Country:US
Practice Address - Phone:781-338-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine