Provider Demographics
NPI:1992810998
Name:SCHWARTZ, MELVIN H (MD)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:H
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6259
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-776-6645
Practice Address - Street 1:1249 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6259
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-776-6645
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027680E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00102588200004Medicaid
PA033700KVJMedicare ID - Type Unspecified
PA00102588200004Medicaid