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Individual

DR. CHANNING S SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
6467
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006467
TUFTS
NH
01
0105456Y0NH03
BLUE CROSS
NH
01
2201427
AETNA
NH
01
2785
CIGNA
NH
05
81303451
NH
Enumeration date
04/19/2006
Last updated
07/08/2007
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