Individual
DR. MARK EDWARD SWETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3065 SOUTHWESTERN BLVD, SUITE 206, ORCHARD PARK, NY 14127-1239
(716) 674-1414
(716) 674-1473
Mailing address
3065 SOUTHWESTERN BLVD, SUITE 206, ORCHARD PARK, NY 14127-1239
(716) 674-1414
(716) 674-1473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
194104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010176002
UNIVERA
NY
01
—
000523769002
BC BS OF WNY
—
01
—
0107477
IHA
—
01
—
194104-6
WORKERS COMP
NY
01
—
352240675
UNITED HEALTHCARE
NY
01
—
3787523
AETNA
NY
01
—
5904267
GHI
NY
01
—
608008800
WC U.S. DEPT. OF LABOR
NY
01
—
P00175635
RAILROAD MEDICARE
NY
Enumeration date
08/02/2005
Last updated
05/19/2023
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