Provider Demographics
NPI:1447876305
Name:ALLAN SCHWARTZ MEDICAL CENTER PC
Entity type:Organization
Organization Name:ALLAN SCHWARTZ MEDICAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-843-4553
Mailing Address - Street 1:1120 E LONG LAKE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4998
Mailing Address - Country:US
Mailing Address - Phone:248-946-9400
Mailing Address - Fax:
Practice Address - Street 1:1120 E LONG LAKE RD STE 120
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-4998
Practice Address - Country:US
Practice Address - Phone:248-946-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
802461797OtherAUTO INSURANCES