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Organization
SWISTAK CHIROPRACTIC PC
Active
Organization
SWISTAK CHIROPRACTIC PC
Active
Other names
Active Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CLARK SWISTAK DC (PRESIDENT)
(301) 963-8333
Entity
Organization
Contact information
Practice address
60 MARKET ST, 215, GAITHERSBURG, MD 20878-6548
(301) 963-8333
(301) 963-9330
Mailing address
60 MARKET ST, 215, GAITHERSBURG, MD 20878-6548
(301) 963-8333
(301) 963-9330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224657
KAISER
MD
01
—
3449828
1ST HEALTH
MD
01
—
3638973
AETNA HMO
MD
01
—
606996-02
BCBSMD
MD
01
—
7662053
AETNA PPO
MD
01
—
9770001
BCBS FED
DC
01
—
FIRST HEALTH
5544592
MD
Enumeration date
11/20/2006
Last updated
08/22/2020
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